BRUCE EDGAR (NPI# 1336564574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336564574 |
| Entity Type | Individual |
| Full Name | BRUCE EDGAR |
| Credential | MD |
| Practice Address |
12021 Wilshire Blvd # 745 Los Angeles CA 90025-1206 |
| Mailing Address |
3027 Caminito Gijon Del Mar CA 92014-3938 |
| Practice Telephone | 3104455999 |
| Mailing Telephone | 8583548752 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G44888 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12021 WILSHIRE BLVD # 745 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164665550 | Kimberly Elyse Conley | General Practice | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2009-04-14 |
| 1861845802 | Doctornow | Internal Medicine | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2016-07-14 |
| 1134569783 | Skilled Wound Care | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2013-06-27 |
| 1588920581 | Orlando Guba Ungos | Physician Assistant | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2012-04-04 |
| 1467750935 | Skilled Facility Health Care Solutions Inc | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2011-03-08 |
| 1811295389 | Skilled Facility Health Care Solutions Inc | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2011-03-08 |
| 1720386295 | Skilled Facility Health Care Solutions Inc | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2011-03-08 |
| 1821396391 | Skilled Facility Health Care Solutions Inc | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2011-03-08 |
| 1639477102 | Skilled Facility Health Care Solutions Inc | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2011-03-08 |
| 1184922650 | Skilled Facility Health Care Solutions Inc | Surgery | 12021 Wilshire Blvd # 745, Los Angeles, CA 90025-1206 | 2011-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| 1578011805 | Robert Maurice Carlton | Obstetrics & Gynecology | 1301 Warner Ave, Los Angeles, CA 90024-5125 | 2016-09-15 |
| 1346698628 | Leah Marsh | Obstetrics & Gynecology | Ucla Department of Ob/gyn 10833 Le Conte Ave 27-139 Chs, Los Angeles, CA 90095-1804 | 2016-05-27 |
| 1679927354 | Christina Tabit Evans | Obstetrics & Gynecology | 8315 Gonzaga Ave, Los Angeles, CA 90045-2577 | 2016-04-19 |
| 1831553544 | Sara Hatlen | Obstetrics & Gynecology | File 50978, Los Angeles, CA 90074-2004 | 2016-04-08 |
| 1477915601 | Xiaoyue Mona Guo | Obstetrics & Gynecology | 2020 Zonal Ave Ste 220, Los Angeles, CA 90089-2914 | 2016-03-26 |
| 1366814204 | Kristin Louie | Obstetrics & Gynecology | 1200 N State St # C3f-107, Los Angeles, CA 90033-1029 | 2015-10-29 |
| 1760879431 | Madison Sternberg | Obstetrics & Gynecology | 1701 E Cesar E Chavez Ave Ste 225, Los Angeles, CA 90033-2496 | 2015-04-21 |
| 1083000657 | Lydia Ning Lo | Obstetrics & Gynecology | 757 Westwood Plaza, Room B-711, Ucla Ob/gyn, Los Angeles, CA 90095-0001 | 2015-04-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.