Icpmd

NPI #1609763721 in Imperial, California

Provider Information

NPI Number: 1609763721
Entity Type: Organization
Organization Name: Icpmd
Primary Specialty: General Practice
Enumeration Date: Jun 20, 2025
Last Updated: Jul 17, 2025

Practice Location

Address: 207 E BARIONI BLVD STE A
City: Imperial
State: California
ZIP Code: 92251-1620
Phone: (760) 355-2999

Authorized Official

Name: MERVAT KELADA, MD
Title: CEO
Phone: (760) 562-6633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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