ICM MEDICAL GROUP INC. NPI 1467401000

NPI Information

NPI: 1467401000
Provider Name: ICM MEDICAL GROUP, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
625 E HARDY ST
INGLEWOOD, CA
ZIP 90301
Phone: (310) 673-6581
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ICM MEDICAL GROUP, INC. is a multi-specialty clinic center in Inglewood, CA. ICM MEDICAL GROUP, INC. NPI is 1467401000. The provider is registered as an organization entity type.

The provider's business location address is:

625 E HARDY ST
INGLEWOOD, CA
ZIP 90301-106
Phone: (310) 673-6581
Fax: (310) 419-9475

The provider's authorized official is Cranford Lavern Scott .
The authorized official title is Ceo/medical Director and has the following contact phone number (310) 673-6581.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	2825600	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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