SearchCalifornia101YP2500X

Lysatis Edmond

NPI 1740152172 · on the registry since 2025 · sole proprietor

Practice

Address
9808 Venice Blvd Ste 700
Culver City, CA 90232
Phone
(310) 945-3350
Fax
(310) 945-3356
Organisation at this address
Allc Corporation
Amnon Licht Md Inc
Horacio F Ariza Md
Rita Bruce,Dds, Inc
Exodus Recovery Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,470

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
373H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-16

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