EDGEMONT MEDICAL CLINIC NPI 1588078166

NPI Information

  • NPI: 1588078166
  • Provider Name: EDGEMONT MEDICAL CLINIC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: EDGEMONT MEDICAL CLINIC
  • Address: 4864 SANTA MONICA BLVD
    LOS ANGELES, CA
    ZIP 90029
  • Phone: (818) 504-7265

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NPI Details

EDGEMONT MEDICAL CLINIC is a family medicine in Los Angeles, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EDGEMONT MEDICAL CLINIC NPI is 1588078166. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Edgemont Medical Clinic.

The provider's business location address is:

4864 SANTA MONICA BLVD
LOS ANGELES, CA
ZIP 90029-634
Phone: (818) 504-7265
Fax: (818) 504-1623

The provider's authorized official is Antonio Zamorano .
The authorized official title is President and has the following contact phone number (818) 504-7265.

The enumeration date for this NPI number is 6/11/2014 and was last updated on 6/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice20A10630CALIFORNIANo
2207Q00000XFamily Medicine20A10630CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11881986826OTHERCALIFORNIANPI 1881986826
21043482060OTHERCALIFORNIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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