Imperial Valley Emergency Physicians Medical Group

LBN: Imperial Valley Emergency Physicians Medical Group
Imperial Valley Emergency Physicians Medical Group is an health care organization with primary practice located at 1415 Ross Ave , El Centro CA 99243-4306. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Imperial Valley Emergency Physicians Medical Group can be contacted via phone (760) 339-7254, or through Rodriguez, George via phone (760) 339-7254.

Contact Information

Primary practice address
1415 Ross Ave El Centro CA 99243-4306
Phone: (760) 339-7254
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, George Doctor of Medicine (MD)
Phone: (760) 339-7254

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1598728040
LBN Legal business name Imperial Valley Emergency Physicians Medical Group
DBA Doing business as
Authorized official Rodriguez, George Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2006
Last updated Sep 20th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598728040 NPPES
California MEDICAID GR0058790

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