Organization
CORONA ANESTHESIA GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRV EDWARDS MD (PRESIDENT)
(310) 321-0143
Entity
Organization
Contact information
Practice address
800 S MAIN ST, CORONA, CA 92882-3420
(310) 321-0143
(310) 379-4856
Mailing address
PO BOX 80181, CITY OF INDUSTRY, CA 91716-8181
(310) 321-0143
(310) 379-4856
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
08/04/2022
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