Healthcare Provider Details

I. General information

NPI: 1942120795
Provider Name (Legal Business Name): COUNTY OF IMPERIAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 APPLESTILL ROAD
EL CENTRO CA
92243
US

IV. Provider business mailing address

940 W MAINS STREET SUITE 208
EL CENTRO CA
92243
US

V. Phone/Fax

Practice location:
  • Phone: 442-265-2379
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2400X
TaxonomyPrison Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH SAIOS
Title or Position: CHIEF PROBATION OFFICER
Credential:
Phone: 442-265-2408