Individual provider · Type 1 NPI

Andrea Crystal Edmeade, MD

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1508612128 Active

Practice location

1100 N State St Clinic Tower A7E
Los Angeles, CA 90089-1001

Call (323) 409-5126 Map

Fax (323) 441-8193

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508612128

Andrea Crystal Edmeade, MD's National Provider Identifier is 1508612128, issued on Apr 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 25, 2024.