Edgemont Medical Clinic
Edgemont Medical Clinic provides Family Medicine Physician services in Los Angeles, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
4864 Santa Monica BlvdLos Angeles, CA 90029-2634 Not confirmed with CMS for 12 years — call before visiting
Phone: (818) 504-7265
Fax: (818) 504-1623
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 20A10630 (CA) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence 20A10630 (CA) |
Record details
| NPI number | 1588078166 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Antonio Zamorano — President · (818) 504-7265 |
| Other names | Edgemont Medical Clinic |
| NPI enumerated | June 11, 2014 |
| Last updated in NPPES | June 19, 2014 |
| Mailing address | 4864 Santa Monica Blvd, Los Angeles, CA 90029-2634 |
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