DR. ANDREA CRYSTAL EDMEADE MD
NPI 1508612128
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 25, 2024
1100 N STATE ST CLINIC TOWER A7E, LOS ANGELES, CA 90089(323) 409-5126(323) 441-8193 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrea Crystal Edmeade Md NPPES

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

DR. ANDREA CRYSTAL EDMEADE MD (NPI 1508612128) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1508612128
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ANDREA CRYSTAL EDMEADECredential: MD
Location Address1100 N STATE ST CLINIC TOWER A7ELos Angeles, CA 90089-1001
Mailing Address1100 N State St Clinic Tower A7eLos Angeles, CA 90089-1001 · (323) 409-5126 · Fax (323) 441-8193
Fax(323) 441-8193
Sole ProprietorNo
Enumeration DateApril 25, 2024
NPPES CertifiedApril 4, 2024
NPI 1508612128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
1100 N STATE ST CLINIC TOWER A7E, Los Angeles, CA 90089

Other Names 1

Former Name (1)Miss Andrea Crystal Campbell

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
1100 N STATE ST CLINIC TOWER A7E
LOS ANGELES, CA 90089

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 Andrea Edmeade's NPI number?

The NPI number for Andrea Edmeade is 1508612128. It was assigned to this individual provider in the NPPES registry on April 25, 2024. The provider is also known as Miss Andrea Crystal Campbell.

Where is Andrea Edmeade located?

Andrea Edmeade practices at 1100 N State St Clinic Tower A7e, Los Angeles, CA 90089. The listed phone number is (323) 409-5126.

What is Andrea Edmeade's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andrea Edmeade was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.