Healthcare Provider Details

I. General information

NPI: 1801837299
Provider Name (Legal Business Name): VALLEY EMERGENCY MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14850 ROSCOE BLVD
PANORAMA CITY CA
91402-4618
US

IV. Provider business mailing address

444 EAST HUNTINGTON DRIVE SUITE 300
ARCADIA CA
91006-3778
US

V. Phone/Fax

Practice location:
  • Phone: 818-904-3500
  • Fax: 818-904-3662
Mailing address:
  • Phone: 626-447-0296
  • Fax: 626-447-6057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: IRV E EDWARDS
Title or Position: OWNER
Credential: M.D.
Phone: 310-379-2134