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Organization
LEGACY MD MEDICAL GROUP INC
Active
Organization
LEGACY MD MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M STRONG MD (PRESIDENT)
(760) 550-1685
Entity
Organization
Contact information
Practice address
1699 N IMPERIAL AVE, EL CENTRO, CA 92243-1320
(760) 550-1685
(888) 631-5150
Mailing address
1699 N IMPERIAL AVE, EL CENTRO, CA 92243-1320
(760) 550-1685
(888) 631-5150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043248719
NPI
CA
Enumeration date
02/13/2023
Last updated
02/16/2026
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