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Organization
THELMA IMMACULADA E EDQUID, M.D., P.C.
Active
Organization
THELMA IMMACULADA E EDQUID, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THELMA I EDQUID M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
25405 HANCOCK AVE STE 103, MURRIETA, CA 92562-5978
(951) 698-4670
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A70526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A705260
—
CA
Enumeration date
03/13/2007
Last updated
12/24/2007
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