Organization
CENTINELA FREEMAN EMERGENCY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRV EDWARDS M.D. (MANAGING PARTNER)
(310) 379-2134
Entity
Organization
Contact information
Practice address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(310) 419-8636
(310) 963-0403
Mailing address
PO BOX 661297, ARCADIA, CA 91066-1297
(626) 447-0296
(626) 447-6036
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104560
—
CA
Enumeration date
02/28/2007
Last updated
02/18/2008
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