Individual
DR. MICHAEL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
1440 E 1ST ST, SUITE 100, SANTA ANA, CA 92701-6384
(714) 568-1100
(714) 568-1101
Mailing address
1440 E 1ST ST, SUITE 100, SANTA ANA, CA 92701-6384
(714) 568-1100
(714) 568-1101
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A91508
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
L2873
TX
Other
Enumeration date
01/14/2006
Last updated
03/15/2010
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