Organization
IMPERIAL VALLEY ENDOCRINE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA A KRUTZIK MD (CEO)
(760) 344-1881
Entity
Organization
Contact information
Practice address
528 G ST, BRAWLEY, CA 92227-2411
(760) 344-6355
(760) 344-6921
Mailing address
528 G ST, BRAWLEY, CA 92227-2411
(760) 344-6355
(760) 344-6321
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A70812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A708120
—
CA
Enumeration date
08/01/2007
Last updated
01/16/2008
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