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

IMD MEDICAL GROUP INC

Active Organization

Primary Care Clinic · LOS ANGELES, CA

Registration Details

NPI Number
1508804006
Provider Type
Organization
NPI Issued
Jun 4, 2006 (19.901272879607 yrs)
Last Updated
Dec 10, 2015
Licenses
A89382 (CA)
A61923 (CA)

Practice Information

Address
1234 N VERMONT AVE
LOS ANGELES, CA, 900291704
Browse CA providers · Browse ZIP 90029
Phone
2134876867
Fax
2134876811
Primary Specialty
Primary Care Clinic
261QP2300X
Additional Specialty
Primary Care Clinic
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.