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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDENTITY MEDICAL GROUP, INC.

Active Organization

IDENTITY MEDICAL GROUP, INC. is a Internal Medicine organization located in CAMARILLO, California. NPI 1326384512 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · CAMARILLO, CA

Registration Details

NPI Number
1326384512
Provider Type
Organization
NPI Issued
Dec 17, 2012 (13.67342767066 yrs)
Last Updated
Nov 18, 2016

Practice Information

Address
751 E DAILY DR
SUITE 120
CAMARILLO, CA, 930106076
Browse CA providers · Browse ZIP 93010
Phone
8052567810
Fax
8052567840
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.