DR. JOHN DAVID EDWARDS JR. M.D - NPI 1952326928 - Specialist in Santa Monica, CA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Dr. John David Edwards Jr. M.d NPPES

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

DR. JOHN DAVID EDWARDS JR. M.D (NPI 1952326928) is an individual specialist in Santa Monica, California, licensed in California (A26085) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1952326928

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. JOHN DAVID EDWARDS JR.Credential: M.D

Location Address2001 SANTA MONICA BLVD, SUITE 1265 WSanta Monica, CA 90404-2102

Mailing Address2001 Santa Monica Blvd, Suite 1265 WSanta Monica, CA 90404-2102 · (310) 828-8566 · Fax (310) 453-9531

Phone(310) 828-8566

Fax(310) 453-9531

Sole ProprietorYes

Enumeration DateJuly 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1952326928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A26085

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2001 SANTA MONICA BLVD, Santa Monica, CA 90404

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