Individual provider Active NPI

Julie Ann Edween, DO

  • Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1821158254
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A7632 Issued in CA
Practice address
9675 Brighton Way Ste 340
Beverly Hills, CA 90210-5155
Phone
(310) 859-8885
Fax
(310) 859-9820
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A7632 CA Primary

Addresses

Primary practice location

9675 Brighton Way Ste 340
Beverly Hills, CA 90210-5155

Mailing address

9675 Brighton Way Ste 340
Beverly Hills, CA 90210-5155
Phone (310) 859-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A7632CAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1821158254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY STE 340",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105155",
            "telephone_number": "310-859-8885",
            "fax_number": "310-859-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY STE 340",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105155",
            "telephone_number": "310-859-8885",
            "fax_number": "310-859-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWEEN",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A7632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.