# LEGACY MD MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073210753
- **Authorized official:** JOHN M STRONG MD (PRESIDENT)
- **Authorized official phone:** (760) 550-1685

## Contact information

- **Practice address:** 1699 N IMPERIAL AVE, EL CENTRO, CA 92243-1320
- **Practice address phone:** (760) 550-1685
- **Practice address fax:** (888) 631-5150
- **Mailing address:** 1699 N IMPERIAL AVE, EL CENTRO, CA 92243-1320
- **Mailing address phone:** (760) 550-1685
- **Mailing address fax:** (888) 631-5150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/13/2023
- **Last updated:** 02/16/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1043248719 | NPI | CA |