IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP is a general practice in El Centro, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP NPI is 1376820159. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1520 SOUTH IMPERIAL AVENUE
EL CENTRO, CA
ZIP 92243
Phone: (760) 592-4586
Fax: (760) 545-0252
The provider's authorized official is Vachaspathi Palakodeti .
The authorized official title is President and has the following contact phone number (760) 355-7730.
The CLIA number assigned to this NPI record is 05D2125040 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/8/2011 and was last updated on 11/8/2011.