Individual
DR. EMILY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17762 BEACH BLVD STE 220, HUNTINGTON BEACH, CA 92647
(714) 848-0080
(714) 665-4679
Mailing address
17360 BROOKHURST STREET, ATTN: MCMF CREDENTIALING DEPT., FOUNTAIN VALLEY, CA 92708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A117631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285912311
MEDI-CAL
CA
Enumeration date
07/22/2011
Last updated
06/01/2018
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