Organization · Type 2 NPI

Legacy MD Medical Group Inc

General Practice Physician · El Centro, CA

NPI number 1073210753 Active

Practice location

1699 N Imperial Ave
El Centro, CA 92243-1320

Call (760) 550-1685 Map

Fax (888) 631-5150

Other practice locations

  • 222 E Cole Blvd Ste C, Calexico, CA 92231-3211 · (760) 550-1685

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
General Practice Physician Primary 208D00000XNone listed
Physical Therapy Clinic/Center 261QP2000XNone listed
Urgent Care Clinic/Center 261QU0200XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

9 other providers at this address

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About NPI 1073210753

Legacy MD Medical Group Inc's National Provider Identifier is 1073210753, issued on Feb 13, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in El Centro, CA. The record was last updated on Feb 16, 2026.