George Keith Edwards
Nuclear Medicine Specialist
1328 22nd St Department Of Nuclear Medicine
Santa Monica
, California 90404-2032
George Keith Edwards
Nuclear Medicine Specialist
1328 22nd St Department Of Nuclear Medicine
Santa Monica
, California 90404-2032
(310) 449-9136
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- George Keith Edwards
- Po Box 48904
- Los Angeles, CA
- Zip : 90048-0904
- Fax : (310) 449-9136
- Phone : (310) 449-1188
Second Address
- George Keith Edwards
- 1328 22nd St Department Of Nuclear Medicine
- Santa Monica, CA
- Zip : 90404-2032
- Fax : (310) 449-9136
- Phone : (310) 829-8229
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | G59625 | CA |
National Provider Identifier
| NPI | 1538125489 |
|---|---|
| Provider Name | George Keith Edwards |
| First Address | Los Angeles, CA 90048-0904 |
| Second Address | Santa Monica, CA 90404-2032 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2006 |
| Last Update Date | 14/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G596250 | (05) | CA |
| 00G596250 | BLUE SHIELD (01) | CA |
| D90058 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.