IndividualActive
Bianca Edison, M.D.
NPI 1477705028 · Pediatric Sports Medicine Physician · Los Angeles, CA
Provider details
- NPI number
- 1477705028
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- A111538 (CA)
Practice location
4650 Sunset Blvd
Mailstop 69, Children'S Orthopaedic Center, Chla,
Los Angeles, CA 90027
Phone: (323) 361-2693
Mailing address
4650 Sunset Blvd
Los Angeles, CA 90027
Registry dates
- Enumerated
- 2008-10-15
- Last updated
- 2016-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.