Imperial Valley Family Care Medical Group
NPI #1750348033 in Imperial, California
Provider Information
- NPI Number
- 1750348033
- Entity Type
- Organization
- Organization Name
- Imperial Valley Family Care Medical Group
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Apr 28, 2006
- Last Updated
- Apr 24, 2008
Practice Location
- Address
- 516 WEST ATEN ROAD
- Address 2
- SUITE 3
- City
- Imperial
- State
- California
- ZIP Code
- 92251
- Phone
- (760) 355-2701
Authorized Official
- Name
- VACHASPATHI PALAKODETI
- Title
- PRESIDENT
- Phone
- (760) 355-7730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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