J DAVID EDWARDS MD INC NPI 1114232691

NPI Information

  • NPI: 1114232691
  • Provider Name: J DAVID EDWARDS MD INC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 2001 SANTA MONICA BLVD
    SUITE 1265W
    SANTA MONICA, CA
    ZIP 90404
  • Phone: (310) 828-8566

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NPI Details

J DAVID EDWARDS MD INC is a medical specialty clinic center in Santa Monica, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). J DAVID EDWARDS MD INC NPI is 1114232691. The provider is registered as an organization entity type.

The provider's business location address is:

2001 SANTA MONICA BLVD
SUITE 1265W
SANTA MONICA, CA
ZIP 90404-102
Phone: (310) 828-8566
Fax: (310) 453-9531

The provider's authorized official is John David Edwards .
The authorized official title is President and has the following contact phone number (310) 828-8566.

The enumeration date for this NPI number is 8/9/2010 and was last updated on 11/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyA26085CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A83325MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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