Healthcare Provider Details

I. General information

NPI: 1992724959
Provider Name (Legal Business Name): EDINGER MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 02/21/2026
Certification Date: 02/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 TALBERT AVE STE 301&302
FOUNTAIN VALLEY CA
92708-5153
US

IV. Provider business mailing address

PO BOX 8039
FOUNTAIN VALLEY CA
92728-8039
US

V. Phone/Fax

Practice location:
  • Phone: 714-965-2500
  • Fax: 714-965-2593
Mailing address:
  • Phone: 714-965-2551
  • Fax: 714-965-2593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: STANLEY W ARNOLD
Title or Position: MD
Credential:
Phone: 714-965-2500