MEDICARE: IMD MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	A89382	CA
2	261QP2300X	Primary Care Clinic/Center	A61923	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508804006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMD MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	1234 N VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1704
Country	:	US
Telephone Number	:	213-487-6867
Fax Number	:	213-487-6811

Provider Business Practice Location Address
First Line	:	1234 N VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1704
Country	:	US
Telephone Number	:	213-487-6867
Fax Number	:	213-487-6811

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IMAD EL ASMAR
Credential	:	M.D.
Telephone Number	:	213-487-6867

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	12/10/2015

Similar Medicare Providers

1912956525 — IMAD AZIZ EL ASMAR MD
Practice Location Address:

1234 N VERMONT AVE
LOS ANGELES, CA
90029-1704

Practice Phone: 323-660-5624
Practice Fax: 213-487-6811

1841229275 — DR. OSAMAH A EL-ATTAR M.D.
Practice Location Address:

1234 N VERMONT AVE , SUITE 2
LOS ANGELES, CA
90029-1704

Practice Phone: 323-666-2727
Practice Fax: 323-666-9056

1316956360 — DANIEL JOSEPH LINARES M.D.
Practice Location Address:

1234 N VERMONT AVE
LOS ANGELES, CA
90029-1704

Practice Phone: 323-660-0831
Practice Fax: 323-389-9128

1053476176 — DR. SIMON R VALENCIA MD
Practice Location Address:

1234 N VERMONT AVE
LOS ANGELES, CA
90029-1704

Practice Phone: 323-660-5624
Practice Fax: 323-660-5626

1568597250 — OSAMAH A EL-ATTAR MD INC
Practice Location Address:

1234 N VERMONT AVE , SUITE 2
LOS ANGELES, CA
90029-1704

Practice Phone: 323-666-2726
Practice Fax: 323-666-9056

1598964389 — MS. ANJU MATHUR M.D.
Practice Location Address:

1212 N VERMONT AVE , #101
LOS ANGELES, CA
90029-1704

Practice Phone: 323-661-7661
Practice Fax: 323-661-0747

Directions to “IMD MEDICAL GROUP INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.