Edmund H. Lew, Md, INC

NPI #1174026926 in Glendale, California

Provider Information

NPI Number: 1174026926
Entity Type: Organization
Organization Name: Edmund H. Lew, Md, INC
Primary Specialty: Family Medicine
Enumeration Date: Mar 16, 2018
Last Updated: Mar 16, 2018

Practice Location

Address: 1505 WILSON TER STE 250
City: Glendale
State: California
ZIP Code: 91206-4075
Phone: (818) 246-7115

Authorized Official

Name: EDMUND H LEW, MD
Title: OWNER
Phone: (818) 246-7115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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