# INTEGRATED ANESTHESIA MEDICAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033464268
- **Authorized official:** IRV EDWARDS MD (PRESIDENT)
- **Authorized official phone:** (310) 379-2434

## Contact information

- **Practice address:** 800 S MAIN ST, CORONA, CA 92882-3420
- **Practice address phone:** (310) 379-2134
- **Practice address fax:** (310) 379-4856
- **Mailing address:** PO BOX 80094, CITY OF INDUSTRY, CA 91716-8094
- **Mailing address phone:** (310) 379-2134
- **Mailing address fax:** (310) 379-4856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A66108 | CA | Yes |

## Other

- **Enumeration date:** 07/13/2012
- **Last updated:** 05/18/2021