Le Medical Associates PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C3298806 Issued in CA

Legal business name

LE MEDICAL ASSOCIATES PC

Practice address

3011 Grayson Ave
Venice, CA 90291-4651

Phone

(562) 201-3874

Fax

(866) 441-8248

NPI assigned

May 16, 2014

Organization subpart

No

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

Authorized official

Name

Michael Edwards, MD PHD

Title

Owner

Phone

(562) 201-3874

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1083025688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 GRAYSON AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914651",
            "telephone_number": "562-201-3874",
            "fax_number": "866-441-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 GRAYSON AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914651",
            "telephone_number": "562-201-3874",
            "fax_number": "866-441-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-201-3874",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C3298806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Bryn Lasov, LMFT
• Angela Laurino, L.AC
• Shir Lavian, M.S.
• Justin William Lawrence
• Lauren Jan Laws, MSN, CNM, WHNP
• Leah Krinsky Atkins
• Sandra Lechner
• Alexis Ledesma I
• Cameron Lee
• Evelyn Lee

• Dermatology Physician in Venice, CA
• Providers in Venice, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.