Organization
DIABETES ASSOCIATES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVY-JOAN MADU M.D. (PRESIDENT)
(714) 639-1815
Entity
Organization
Contact information
Practice address
1310 W STEWART DR STE 610, ORANGE, CA 92868-3857
(714) 639-1815
(714) 638-2374
Mailing address
1310 W STEWART DR STE 610, ORANGE, CA 92868-3857
(714) 639-1815
(714) 638-2374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A50150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A501501
—
CA
Enumeration date
09/23/2010
Last updated
04/19/2022
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