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IMPERIAL VALLEY ENDOCRINE MEDICAL CORPORATION NPI 1265623524


NPI Information

NPI: 1265623524
Provider Name: IMPERIAL VALLEY ENDOCRINE MEDICAL CORPORATION
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
528 G ST
BRAWLEY, CA
ZIP 92227
Phone: (760) 344-6355
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IMPERIAL VALLEY ENDOCRINE MEDICAL CORPORATION is an endocrinology and diabetes and metabolism internal medicine in Brawley, CA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. IMPERIAL VALLEY ENDOCRINE MEDICAL CORPORATION NPI is 1265623524. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

528 G ST
BRAWLEY, CA
ZIP 92227-411
Phone: (760) 344-6355
Fax: (760) 344-6921

The provider's authorized official is Ramona A Krutzik .
The authorized official title is Ceo and has the following contact phone number (760) 344-1881.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 1/16/2008.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismA70812CALIFORNIAYes

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
1W21299MEDICARE PINCALIFORNIA
200A708120MEDICAIDCALIFORNIA

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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