OrganizationActive
Imperial Valley Family Care Medical Group, Apc
NPI 1750112587 · Cardiac Rehabilitation Registered Nurse · Imperial, CA
Provider details
- NPI number
- 1750112587
- Entity type
- Organization
- Primary specialty
- Cardiac Rehabilitation Registered NurseNursing Service Providers
- Parent organization
- Imperial Valley Family Care Medical Group Apc
- Organization subpart
- Yes
- Authorized official
- Vachaspathi Palakodeti, Authorized Representative(760) 355-8300
Specialties & taxonomies
Nursing Service Providers
Practice location
516 West Aten Road
Suite 1
Imperial, CA 92251-9805
Phone: (760) 355-8300
Fax: (760) 545-0240
Approximate (ZIP-level) locationGet directions
Mailing address
516 West Aten Road
Imperial, CA 92251-9805
Registry dates
- Enumerated
- 2024-08-13
- Last updated
- 2024-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.