# IMPERIAL VALLEY WOMENS CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1871777961
- **Authorized official:** MISS MARY LINDA SLADE (OFFICE MANAGER)
- **Authorized official phone:** (760) 353-3331

## Contact information

- **Practice address:** 495 E ORANGE AVE, EL CENTRO, CA 92243-2744
- **Practice address phone:** (760) 353-3331
- **Practice address fax:** (760) 353-5085
- **Mailing address:** 495 E ORANGE AVE, EL CENTRO, CA 92243-2744
- **Mailing address phone:** (760) 353-3331
- **Mailing address fax:** (760) 353-5085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 00A395830 | CA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 00C503030 | CA | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 00G486850 | CA | — |
| 207VX0000X | Obstetrics Physician | 437781 | CA | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | 529623 | CA | — |

## Other

- **Enumeration date:** 12/26/2007
- **Last updated:** 10/22/2008