Imperial Valley Family Care Medical Group, Apc
NPI #1750112587 in Imperial, California
Provider Information
- NPI Number
- 1750112587
- Entity Type
- Organization
- Organization Name
- Imperial Valley Family Care Medical Group, Apc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP APC
- Primary Specialty
- Registered Nurse - Cardiac Rehabilitation
- Enumeration Date
- Aug 13, 2024
- Last Updated
- Oct 15, 2024
Practice Location
- Address
- 516 WEST ATEN ROAD
- Address 2
- SUITE 1
- City
- Imperial
- State
- California
- ZIP Code
- 92251-9805
- Phone
- (760) 355-8300
Authorized Official
- Name
- VACHASPATHI PALAKODETI, MD
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (760) 355-8300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Cardiac Rehabilitation — Cardiac Rehabilitation |
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