JACOB JOSEPH EDEM
NPI 1255964532
Family Medicine in Los Angeles, CA

Active since February 14, 2020
3700 WILSHIRE BLVD STE 422, LOS ANGELES, CA 90010(213) 718-1473 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Joseph Edem NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB JOSEPH EDEM (NPI 1255964532) is an individual family medicine provider in Los Angeles, California, licensed in California (A92519) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1255964532
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB JOSEPH EDEM
Location Address3700 WILSHIRE BLVD STE 422Los Angeles, CA 90010-2905
Mailing Address3700 Wilshire Blvd Ste 422Los Angeles, CA 90010-2905
Sole ProprietorYes
Enumeration DateFebruary 14, 2020
NPI 1255964532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A92519
Definition

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.

3700 WILSHIRE BLVD STE 422, Los Angeles, CA 90010

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3700 WILSHIRE BLVD STE 422
LOS ANGELES, CA 90010
Internal Medicine
3700 WILSHIRE BLVD STE 422
LOS ANGELES, CA 90010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Edem's NPI number?

The NPI number for Jacob Edem is 1255964532. It was assigned to this individual provider in the NPPES registry on February 14, 2020.

Where is Jacob Edem located?

Jacob Edem practices at 3700 Wilshire Blvd Ste 422, Los Angeles, CA 90010. The listed phone number is (213) 718-1473.

What is Jacob Edem's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jacob Edem was last updated on February 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.