Organization
IMPERIAL VALLEY MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORMA M. APODACA MSW (EXECUTIVE PROGRAM DIRECTOR)
(760) 357-6566
Entity
Organization
Contact information
Practice address
535 W. CESAR CHAVEZ BLVD, CALEXICO, CA 92231-2103
(760) 357-6566
(760) 357-0849
Mailing address
535 W. CESAR CHAVEZ BLVD, CALEXICO, CA 92231-2103
(760) 357-6566
(760) 357-0849
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
13-02
CA
Other
Enumeration date
10/16/2006
Last updated
11/29/2021
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