# LEGACY MD MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEGACY MD MEDICAL GROUP INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285494351
- **Legal business name:** LEGACY MD MEDICAL GROUP INC
- **Authorized official:** JOHN MARSHALL STRONG MD (PRESIDENT)
- **Authorized official phone:** (760) 550-1685

## Contact information

- **Practice address:** 222 E COLE BLVD, CALEXICO, CA 92231-3211
- **Practice address phone:** (760) 550-1685
- **Practice address fax:** (442) 615-2060
- **Mailing address:** 222 E COLE BLVD, CALEXICO, CA 92231-3211
- **Mailing address phone:** (760) 550-1685
- **Mailing address fax:** (442) 615-2060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC3500X | Cardiac Rehabilitation Registered Nurse | — | NULL | Yes |
| 163WC3500X | Cardiac Rehabilitation Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2024
- **Last updated:** 03/19/2024