| NPI | 1588078166 |
|---|---|
| Doing Business As | EDGEMONT MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANTONIO ZAMORANO President 818-504-7265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A10630) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA 20A10630) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-19 |