Imperial Valley Podiatry Associates Inc
LBN: Imperial Valley Podiatry Associates Inc
Imperial Valley Podiatry Associates Inc is an health care organization with primary practice located at 1503 N Imperial Ave Suite 105, El Centro CA 92243-6301. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Imperial Valley Podiatry Associates Inc can be contacted via phone (760) 337-2800, or through Gostich, Cyril M via phone (760) 337-2800.
Contact Information
Primary practice address
1503 N Imperial Ave Suite 105
El Centro CA 92243-6301
Phone: (760) 337-2800
Fax: (760) 337-9099
Website:
Authorized official contact:
Name: Gostich, Cyril M Doctor of Podiatric Medicine (DPM)
Phone: (760) 337-2800
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E3744 | California |
Profile Details
| NPI number | 1760682793 |
|---|---|
| LBN Legal business name | Imperial Valley Podiatry Associates Inc |
| DBA Doing business as | |
| Authorized official | Gostich, Cyril M Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Nov 17th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760682793 | NPPES |
| California | MEDICAID | GRE001481 |
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