MEDICARE: EDMUND H. LEW, MD, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	G55213	CA

General Provider Information

NPI Number	:	1174026926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDMUND H. LEW, MD, INC

Provider Business Mailing Address
First Line	:	1505 WILSON TER STE 250
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4075
Country	:	US
Telephone Number	:	818-246-7115
Fax Number	:	818-246-8352

Provider Business Practice Location Address
First Line	:	1505 WILSON TER STE 250
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4075
Country	:	US
Telephone Number	:	818-246-7115
Fax Number	:	818-246-8352

Authorized Official
Title or Position	:	OWNER
Name	:	EDMUND H LEW
Credential	:	MD
Telephone Number	:	818-246-7115

Provider Enumeration Date	:	03/16/2018
Last Update Date	:	03/16/2018

Similar Medicare Providers

1932032117 — ADVENTIST HEALTH PHYSICIANS NETWORK
Practice Location Address:

1505 WILSON TER STE 250
GLENDALE, CA
91206-4075

Practice Phone: 818-637-7980
Practice Fax:

1326594219 — MRS. BRIANNE MEDINA RN, FNP
Practice Location Address:

1505 WILSON TER STE 250
GLENDALE, CA
91206-4075

Practice Phone: 818-246-7115
Practice Fax: 877-366-1148

1710409131 — LISA WEBER LAC
Practice Location Address:

1505 WILSON TER STE 250
GLENDALE, CA
91206-4075

Practice Phone: 949-836-2305
Practice Fax:

1760261218 — RYAN LEW MSN-E, RN, FNP
Practice Location Address:

1505 WILSON TER STE 250
GLENDALE, CA
91206-4075

Practice Phone: 818-246-7115
Practice Fax: 877-366-1148

1669305744 — NINO MAILOV
Practice Location Address:

1505 WILSON TER
GLENDALE, CA
91206-4071

Practice Phone: 818-409-8000
Practice Fax:

1922126119 — ELIZABETH ANNE TODD LMFT
Practice Location Address:

1560 E CHEVY CHASE DR STE 130
GLENDALE, CA
91206-4140

Practice Phone: 858-279-1223
Practice Fax:

Directions to “EDMUND H. LEW, MD, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.