Healthcare Provider Details

I. General information

NPI: 1093226037
Provider Name (Legal Business Name): EASYACCESS CARE IPA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2017
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 E COLE BLVD
CALEXICO CA
92231-3211
US

IV. Provider business mailing address

222 E COLE BLVD
CALEXICO CA
92231-3211
US

V. Phone/Fax

Practice location:
  • Phone: 760-352-2551
  • Fax: 442-615-2060
Mailing address:
  • Phone: 760-352-2551
  • Fax: 442-615-2060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA111104
License Number StateCA

VIII. Authorized Official

Name: JOHN M STRONG
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 442-283-3494