Organization
ICM MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANUEL SIMA M.D. (PRESIDENT)
(310) 989-1224
Entity
Organization
Contact information
Practice address
211 N PRAIRIE AVE, INGLEWOOD, CA 90301-1412
(310) 673-4000
(310) 673-4001
Mailing address
PO BOX 1698, INGLEWOOD, CA 90308-1698
(310) 673-4000
(310) 673-4001
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2825600
CA
Other
Enumeration date
05/10/2006
Last updated
09/23/2025
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