Organization
IMPERIAL VALLEY EMERGENCY PHYSICIANS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE RODRIGUEZ MD (PRESIDENT)
(760) 339-7254
Entity
Organization
Contact information
Practice address
1415 ROSS AVE, EL CENTRO, CA 99243-4306
(760) 339-7254
Mailing address
PO BOX 11179, WESTMINSTER, CA 92685-1179
(888) 517-2788
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0058790
—
CA
Enumeration date
04/07/2006
Last updated
09/20/2007
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