Imperial Valley Family Care Medical Group
NPI #1376820159 in El Centro, California
Provider Information
- NPI Number
- 1376820159
- Entity Type
- Organization
- Organization Name
- Imperial Valley Family Care Medical Group
- Primary Specialty
- General Practice
- Enumeration Date
- Nov 8, 2011
- Last Updated
- Nov 8, 2011
Practice Location
- Address
- 1520 SOUTH IMPERIAL AVENUE
- City
- El Centro
- State
- California
- ZIP Code
- 92243
- Phone
- (760) 592-4586
Authorized Official
- Name
- VACHASPATHI PALAKODETI, M.D.
- Title
- PRESIDENT
- Phone
- (760) 355-7730
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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