MEDICARE: EDWARD ROBERT SIGALL MD

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	207V00000X	Obstetrics & Gynecology Physician	G48293	CA

General Provider Information

NPI Number	:	1598707457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD ROBERT SIGALL MD

Provider Business Mailing Address
First Line	:	99 N LA CIENEGA BLVD
Second Line	:	STE 306
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2222
Country	:	US
Telephone Number	:	310-652-9147
Fax Number	:	310-659-2175

Provider Business Practice Location Address
First Line	:	99 N LA CIENEGA BLVD
Second Line	:	STE 306
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2222
Country	:	US
Telephone Number	:	310-652-9147
Fax Number	:	310-659-2175

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	07/08/2007

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