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EDINGER MEDICAL GROUP INC. NPI 1215185640


NPI Information

NPI: 1215185640
Provider Name: EDINGER MEDICAL GROUP, INC.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0581626

Address:
18682 BEACH BLVD STE 145-155
HUNTINGTON BEACH, CA
ZIP 92648
Phone: (714) 965-2500
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EDINGER MEDICAL GROUP, INC. is a specialist in Huntington Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EDINGER MEDICAL GROUP, INC. NPI is 1215185640. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18682 BEACH BLVD STE 145-155
HUNTINGTON BEACH, CA
ZIP 92648-048
Phone: (714) 965-2500
Fax: (714) 965-2540

The provider's authorized official is Carol June Anguiano .
The authorized official title is Finance Department and has the following contact phone number (714) 965-2535.

The CLIA number assigned to this NPI record is 05D0581626 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2008 and was last updated on 3/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W1466AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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