# IMPERIAL VALLEY PODIATRY ASSOCIATES INC

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

## Provider details

- **NPI number:** 1760682793
- **Authorized official:** DR. CYRIL M GOSTICH DPM (PRESIDENT)
- **Authorized official phone:** (760) 337-2800

## Contact information

- **Practice address:** 1503 N IMPERIAL AVE, SUITE 105, EL CENTRO, CA 92243-6301
- **Practice address phone:** (760) 337-2800
- **Practice address fax:** (760) 337-9099
- **Mailing address:** IMPERIAL VALLEY PODIATRY ASSOCIATES INC, P.O.BOX 650, EL CENTRO, CA 92244-0650
- **Mailing address phone:** (760) 337-2800
- **Mailing address fax:** (760) 337-9099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E3744 | CA | Yes |

## Other

- **Enumeration date:** 07/18/2007
- **Last updated:** 11/17/2009