Organization
INTEGRATED ANESTHESIA MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRV EDWARDS MD (PRESIDENT)
(310) 379-2434
Entity
Organization
Contact information
Practice address
800 S MAIN ST, CORONA, CA 92882-3420
(310) 379-2134
(310) 379-4856
Mailing address
PO BOX 80094, CITY OF INDUSTRY, CA 91716-8094
(310) 379-2134
(310) 379-4856
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A66108
CA
Other
Enumeration date
07/13/2012
Last updated
05/18/2021
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