EDGEMONT MEDICAL CLINIC – NPI #1588078166
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

EDGEMONT MEDICAL CLINIC is a provider located in LOS ANGELES, CA. NPPES has assigned the NPI number 1588078166 to EDGEMONT MEDICAL CLINIC on June 11, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Jun 19, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDGEMONT MEDICAL CLINIC below.

NPI Profile for
EDGEMONT MEDICAL CLINIC

NPI Number
1588078166
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EDGEMONT MEDICAL CLINIC
Doing Business As (dba): EDGEMONT MEDICAL CLINIC
Primary location
4864 SANTA MONICA BLVD
LOS ANGELES, CA 90029-2634
Phone: (818) 504-7265 Fax: (818) 504-1623
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANTONIO ZAMORANO
PRESIDENT
Phone: (818) 504-7265
Updated
Identifiers

Identifiers for EDGEMONT MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPICA1043482060
OTHERNPI 1881986826CA1881986826
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 CA 20A10630
208D00000X
- General Practice		 CA 20A10630

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.