Organization
IMPERIAL COUNTY PEDIATRIC ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAN NHU BICH PHAN (ADMINISTRATOR)
(626) 656-2370
Entity
Organization
Contact information
Practice address
702 WAKE AVE, EL CENTRO, CA 92243-7502
(760) 352-7216
Mailing address
6 VERANDA, NEWPORT COAST, CA 92657-1632
(818) 399-8996
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
04/20/2026
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