Organization
IMPERIAL VASCULAR WOUND CARE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR TAHIR MD (PRESIDENT)
(760) 515-6260
Entity
Organization
Contact information
Practice address
441 W STATE ST, EL CENTRO, CA 92243-3021
(760) 683-2199
Mailing address
18092 WIKA RD STE 220, APPLE VALLEY, CA 92307-2132
(760) 515-6260
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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