Search › California › 167G00000X
Jeremiah Edwards, LPT
NPI 1124462734 · on the registry since 2013 · sole proprietor
Practice
- Address
- 3881 S Western Ave
2500 Wilshire Blvd Suite 500
Los Angeles, CA 90062 - Phone
- (213) 639-0251
- Fax
- (213) 389-7358
- Organisation at this address
- Pacific Clinics
Pacific ClinicsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 95
Registry record
- Primary taxonomy
- 167G00000X
167G00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California