EDWARD JAY BOLD MD NPI 1174502009

NPI Information

  • NPI: 1174502009
  • Provider Name: EDWARD JAY BOLD, MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • Address: 3701 SKYPARK DR
    STE 200
    TORRANCE, CA
    ZIP 90505
  • Phone: (310) 378-8900

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NPI Details

Edward Jay Bold, MD is a pulmonary disease internal medicine in Torrance, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Edward Jay Bold, MD NPI is 1174502009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3701 SKYPARK DR
STE 200
TORRANCE, CA
ZIP 90505-749
Phone: (310) 378-8900
Fax: (310) 791-0786

The enumeration date for this NPI number is 1/10/2006 and was last updated on 6/29/2010.

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
1207R00000XInternal Medicine38189CALIFORNIANo
2207RP1001XInternal MedicinePulmonary Disease38189CALIFORNIAYes

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
1QG11563CMEDICARE ID-TYPE UNSPECIFIED
2A38386MEDICARE UPIN
300G115630MEDICAIDCALIFORNIA
4WG11563CMEDICARE PINCALIFORNIA

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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