Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edgemont Medical Clinic

Organization Family Medicine Physician · NPI 1588078166

Edgemont Medical Clinic is a Family Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

4864 Santa Monica Blvd
Los Angeles, CA 90029-2634
Phone: (818) 504-7265
Fax: (818) 504-1623
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A10630 (CA)
General Practice Physician Taxonomy 208D00000X · Licence 20A10630 (CA)

Record details

NPI number1588078166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antonio Zamorano — President · (818) 504-7265
Other names Edgemont Medical Clinic
NPI enumeratedJune 11, 2014
Last updated in NPPESJune 19, 2014
Mailing address4864 Santa Monica Blvd, Los Angeles, CA 90029-2634

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