# IMPERIAL VALLEY ENDOCRINE MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1265623524
- **Authorized official:** RAMONA A KRUTZIK MD (CEO)
- **Authorized official phone:** (760) 344-1881

## Contact information

- **Practice address:** 528 G ST, BRAWLEY, CA 92227-2411
- **Practice address phone:** (760) 344-6355
- **Practice address fax:** (760) 344-6921
- **Mailing address:** 528 G ST, BRAWLEY, CA 92227-2411
- **Mailing address phone:** (760) 344-6355
- **Mailing address fax:** (760) 344-6321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A70812 | CA | Yes |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 01/16/2008