Organization · Type 2 NPI

J David Edwards MD Inc

Medical Specialty Clinic/Center · Santa Monica, CA

NPI number 1114232691 Active

Practice location

2001 Santa Monica Blvd, Suite 1265W
Santa Monica, CA 90404-2102

Call (310) 828-8566 Map

Fax (310) 453-9531

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XA26085 (CA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1114232691

J David Edwards MD Inc's National Provider Identifier is 1114232691, issued on Aug 9, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Santa Monica, CA. The record was last updated on Nov 17, 2010.