| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1356549687 | GEORGE | TELA | R | 4867 W SUNSET BLVD | LOS ANGELES | CA | 900275969 | |
| 1871776229 | OBASOHAN | BENILDA | BUENAVENTURA | 1526 N EDGEMONT ST | LOS ANGELES | CA | 90027 | |
| 1942596994 | SWEENEY | MARY | ELLEN | 1526 N EDGEMONT ST | LOS ANGELES | CA | 900275260 | |
| 1366654469 | WIBISONO | PETER | 1526 N EDGEMONT ST | LOS ANGELES | CA | 900275260 |