Edwards, George Keith

Edwards, George Keith is an individual health care provider with primary practice located at 1328 22Nd St Department Of Nuclear Medicine, Santa Monica CA 90404-2032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Edwards, George Keith can be contacted via phone (310) 829-8229.

Contact Information

Primary practice address
1328 22Nd St Department Of Nuclear Medicine Santa Monica CA 90404-2032
Phone: (310) 829-8229
Fax: (310) 449-9136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X G59625 California

Profile Details

NPI number 1538125489
LBN Legal business name Edwards, George Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated May 14th, 2008 - about 18 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 1538125489 NPPES
California MEDICAID 00G596250
California Other 00G596250

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