Imperial Valley Family Care Medical Group Apc

NPI #1275581894 in Imperial, California

Provider Information

NPI Number: 1275581894
Entity Type: Organization
Organization Name: Imperial Valley Family Care Medical Group Apc
Primary Specialty: General Practice
Enumeration Date: May 5, 2006
Last Updated: Oct 29, 2007

Practice Location

Address: 516 WEST ATEN ROAD
Address 2: SUITE 2
City: Imperial
State: California
ZIP Code: 92251
Phone: (760) 355-7730

Authorized Official

Name: VACHASPATHI PALAKODETI, MD
Title: PRESIDENT
Phone: (760) 355-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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