ICM MEDICAL GROUP INC is a clinic pharmacy pharmacy in Inglewood, CA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. ICM MEDICAL GROUP INC NPI is 1922461300. The provider is registered as an organization entity type.
The provider's business location address is:
211 N PRAIRIE AVE
INGLEWOOD, CA
ZIP 90301-412
Phone: (310) 855-0556
Fax: (310) 419-9475
The provider's authorized official is Amanuel Sima .
The authorized official title is President and has the following contact phone number (310) 855-0556.
The CLIA number assigned to this NPI record is 05D1061856 - independent with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 4/1/2016 and was last updated on 4/1/2016.