IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP; NPI #1376820159

Contact Information

IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP

1520 SOUTH IMPERIAL AVENUE
EL CENTRO, CA 92243

Phone: 760-592-4586
Fax: 760-545-0252
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP

NPI #	`1376820159`
LBN Legal business name	IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP
Authorized official	VACHASPATHI PALAKODETI - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/08/2011
Last updated	11/08/2011 - About 15 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP

Contact Information

Specialty

General Practice

NPI Profile & details for IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP

Reviews for IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP