Organization
IMPERIAL VALLEY WOMENS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY LINDA SLADE (OFFICE MANAGER)
(760) 353-3331
Entity
Organization
Contact information
Practice address
495 E ORANGE AVE, EL CENTRO, CA 92243-2744
(760) 353-3331
(760) 353-5085
Mailing address
495 E ORANGE AVE, EL CENTRO, CA 92243-2744
(760) 353-3331
(760) 353-5085
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
00A395830
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
00C503030
CA
207V00000X
Obstetrics & Gynecology Physician
00G486850
CA
207VX0000X
Obstetrics Physician
437781
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
529623
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB72222F
—
CA
05
—
ZZZ79332Z
—
CA
Enumeration date
12/26/2007
Last updated
10/22/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us