Imperial Valley Multi-Specialty Medical Group, Inc.
NPI #1700277647 in El Centro, California
Provider Information
- NPI Number
- 1700277647
- Entity Type
- Organization
- Organization Name
- Imperial Valley Multi-Specialty Medical Group, Inc.
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 13, 2015
- Last Updated
- Feb 13, 2015
Practice Location
- Address
- 2061 ROSS AVE
- Address 2
- SUITE A
- City
- El Centro
- State
- California
- ZIP Code
- 92243-3687
- Phone
- (908) 361-0185
Authorized Official
- Name
- DR. SIVARAMAN K GOUNDER, M.D.
- Title
- SECRETARY
- Phone
- (908) 361-0185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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