OrganizationActive
Icm Medical Group Inc
NPI 1922461300 · Clinic Pharmacy · Inglewood, CA
Provider details
- NPI number
- 1922461300
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Authorized official
- Amanuel Sima, President
Practice location
211 N Prairie Ave
Inglewood, CA 90301-1412
Phone: (310) 855-0556
Fax: (310) 419-9475
Mailing address
Po Box 1698
Inglewood, CA 90308-1698
Registry dates
- Enumerated
- 2016-04-01
- Last updated
- 2016-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.