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Organization
IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP
Active
Organization
IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VACHASPATHI PALAKODETI M.D. (PRESIDENT)
(760) 355-7730
Entity
Organization
Contact information
Practice address
1520 SOUTH IMPERIAL AVENUE, EL CENTRO, CA 92243
(760) 592-4586
(760) 545-0252
Mailing address
516 WEST ATEN ROAD SUITE 2, IMPERIAL, CA 92251
(760) 355-7730
(760) 355-7731
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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