Most Relevant Information
Provider Data
| NPI Number: | 1003044728 |
| Provider Name: | KYLE P. EDMONDS M.D., FAAHPM |
| Entity Type: | Individual |
| Taxonomy Code: | 207QH0002X |
| Specialty: | Family Medicine |
| License Number: | A121683 |
Most Important Dates
| Enumeration Date: | 07/01/2009 |
| Last Updated: | 02/28/2019 |
Provider Practice Location
200 W ARBOR DR # 8216
SAN DIEGO
CA
921031911
Practice Location Phone/Fax
| Phone: | 8585346091 |
| Fax: | 6195433947 |
Provider Mailing Location
136 DICKINSON ST.
MC 8216
SAN DIEGO
CA
92103
Provider Mailing Phone/Fax
| Phone: | 8585347079 |
| Fax: | 6195433947 |