Organization · Type 2 NPI

Edgemont Medical Clinic

Family Medicine Physician · Los Angeles, CA

NPI number 1588078166 Active

Practice location

4864 Santa Monica Blvd
Los Angeles, CA 90029-2634

Fax (323) 661-2702

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X20A10630 (CA)
General Practice Physician 208D00000X20A10630 (CA)

Family Medicine Physician: 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.

2 other providers at this address

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About NPI 1588078166

Edgemont Medical Clinic's National Provider Identifier is 1588078166, issued on Jun 11, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 23, 2026.