Imperial Valley Womens Clinic

LBN: Imperial Valley Womens Clinic
Imperial Valley Womens Clinic is an health care organization with primary practice located at 495 E Orange Ave , El Centro CA 92243-2744. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. Imperial Valley Womens Clinic can be contacted via phone (760) 353-3331, or through Slade, Mary Linda via phone (760) 353-3331.

Contact Information

Primary practice address
495 E Orange Ave El Centro CA 92243-2744
Phone: (760) 353-3331
Fax: (760) 353-5085
Website:
Map and Directions
Authorized official contact:
Name: Slade, Mary Linda
Phone: (760) 353-3331

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 00C503030 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 00G486850 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 00A395830 California
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 437781 California
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 529623 California

Profile Details

NPI number 1871777961
LBN Legal business name Imperial Valley Womens Clinic
DBA Doing business as
Authorized official Slade, Mary Linda
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2007
Last updated Oct 22nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871777961 NPPES
California MEDICAID ZZZ79332Z
California MEDICAID LAB72222F

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