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Organization
IMPERIAL PRIMARY CARE MEDICAL GROUP
Active
Organization
IMPERIAL PRIMARY CARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMSHID MALEKI MD (PRESIDENT)
(562) 902-3000
Entity
Organization
Contact information
Practice address
15625 IMPERIAL HWY, LA MIRADA, CA 90638
(562) 902-3000
(562) 902-9563
Mailing address
15034 IMPERIAL HWY, LA MIRADA, CA 90638-1301
(562) 902-3000
(562) 902-9563
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A61645
CA
207R00000X
Internal Medicine Physician
G32190
CA
Other
Enumeration date
03/01/2007
Last updated
08/14/2018
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