| Edward L. Spencer, M.d., A Professional Corporation | |
|
450 N Bedford Dr Ste 309 Beverly Hills CA 90210-4307 | |
| (310) 425-3820 | |
| (855) 729-4884 |
| Full Name | Edward L. Spencer, M.d., A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 450 N Bedford Dr Ste 309, Beverly Hills, California |
| Authorized Official Name and Position | Edward Lee Spencer (PRESIDENT) |
| Authorized Official Contact | 3104253820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward L. Spencer, M.d., A Professional Corporation 450 N Bedford Dr Ste 309 Beverly Hills CA 90210-4307 Ph: (310) 425-3820 | Edward L. Spencer, M.d., A Professional Corporation 450 N Bedford Dr Ste 309 Beverly Hills CA 90210-4307 Ph: (310) 425-3820 |
| NPI Number | 1043650161 |
|---|---|
| Provider Enumeration Date | 07/03/2013 |
| Last Update Date | 02/03/2015 |
| Medicare PECOS PAC ID | 6901049048 |
|---|---|
| Medicare Enrollment ID | O20130821000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043650161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A106729 (California) | Primary |
| Provider Name | Edward L Spencer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205075223 PECOS PAC ID: 8820276413 Enrollment ID: I20110630000219 |
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