Bold, Edward Jay

Bold, Edward Jay is an individual health care provider with primary practice located at 3701 Skypark Dr Ste 200, Torrance CA 90505-4749. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Bold, Edward Jay can be contacted via phone (310) 378-8900.

Contact Information

Primary practice address
3701 Skypark Dr Ste 200 Torrance CA 90505-4749
Phone: (310) 378-8900
Fax: (310) 791-0786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38189 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 38189 California

Profile Details

NPI number 1174502009
LBN Legal business name Bold, Edward Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jun 29th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174502009 NPPES
California MEDICAID 00G115630

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