Organization · Type 2 NPI

Michael Ednie MD XRH of Ca PC

Nurse Practitioner · Glendale, CA

NPI number 1083564082 Active

Practice location

330 N Brand Blvd Ste 700
Glendale, CA 91203-2336

Call (857) 990-6111 Map

Fax (857) 576-0059

Mailing address

300 1st Ave Ste 103
Needham, MA 02494-2759

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083564082

Michael Ednie MD XRH of Ca PC's National Provider Identifier is 1083564082, issued on Jan 29, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glendale, CA. The record was last updated on Jan 29, 2026.