Legacy MD Medical Group INC
Radiology, Diagnostic Radiology in Calexico, CA. Organization (NPI-2).
NPI number1063251502
StatusActive
Last updated in NPPESFeb 24, 2025
Details
- NPI
- 1063251502
- Entity type
- Organization (NPI-2)
- Legal business name
- Legacy MD Medical Group INC
- Organization subpart
- Yes
- Enumeration date
- May 23, 2024
- Certification date
- Feb 24, 2025
- Last updated
- Feb 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
222 E Cole BlvdCalexico, CA 92231-3211
Phone 760-352-2551
Mailing address
222 E Cole BlvdCalexico, CA 92231-3211
Other practice locations
1699 N Imperial Ave
El Centro, CA 92243-1320
El Centro, CA 92243-1320
Phone 760-352-2551 · Fax 888-631-5150
Authorized official
John Marshall Strong
President
7603522551
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