Edgardo a Osea M D Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A44654 Issued in CA

Legal business name

EDGARDO A OSEA M D INC

Practice address

1310 Sepulveda Blvd
Harbor City, CA 90710-1156

Phone

(310) 534-5765

Fax

(310) 534-5913

NPI assigned

Oct 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edgardo Alvarez Osea, M.D.

Title

Medical Director

Phone

(310) 534-5765

Specialties & licenses 1

Addresses

Other names 1

• HOLY TRINITY MEDICAL CLINIC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1033398136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SEPULVEDA BLVD",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907101156",
            "telephone_number": "310-534-5765",
            "fax_number": "310-534-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SEPULVEDA BLVD",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907101156",
            "telephone_number": "310-534-5765",
            "fax_number": "310-534-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGARDO A OSEA M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "OSEA",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "ALVAREZ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-534-5765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A44654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLY TRINITY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candida Dunbar
• Duc Minh Duong, PHARM.D
• Janet Duong
• Lara Natasha Durna, MD
• Wonder Edem
• Joseph O. Egnoto, PH.D.
• Donna L. Ehlers, MD
• Rahal Ehsan, NP
• Farhad Ehtessabian, MD
• Uchenna Ekeanyanwu, PMHNP

• All providers in Harbor City, CA
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.