Edward J Bates
NPI #1467045542 in Los Angeles, California
Provider Information
- NPI Number
- 1467045542
- Entity Type
- Individual
- Name
- Edward J Bates
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 18, 2021
- Last Updated
- Apr 15, 2021
Practice Location
- Address
- 1138 S CRESCENT HEIGHTS BLVD
- City
- Los Angeles
- State
- California
- ZIP Code
- 90035-2635
- Phone
- (310) 658-4008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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