| NPI | 1619573904 |
|---|---|
| Former Legal Business Name | EDWARDS MEDICAL PROVIDER GROUP |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER AUSTIN CFO 714-926-5846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2024-02-01 |