Organization · Type 2 NPI

Imperial Beach Community Clinic

Family Medicine Physician · Imperial Beach, CA

NPI number 1508028200 Active

Practice location

949 Palm Avenue
Imperial Beach, CA 91932-1503

Call (619) 429-3733 Map

Fax (619) 429-6457

Mailing address

PO Box 459
Imperial Beach, CA 91933-0459

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

Other family medicine physician providers in Imperial Beach

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NPI record

NPI: 1508028200
Entity type: Organization (Type 2)
Issued: Jun 25, 2008
Last updated: Jun 25, 2008
Status: Active
Subpart: Yes of Imperial Beach Community Clinic

Other names

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Imperial Beach Health Center · doing business as

Authorized official

Constance Kirk
Executive Director
(619) 429-5387

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508028200

Imperial Beach Community Clinic's National Provider Identifier is 1508028200, issued on Jun 25, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Imperial Beach, CA. The record was last updated on Jun 25, 2008.