Healthcare Provider Details

I. General information

NPI: 1699621870
Provider Name (Legal Business Name): IMPERIAL VALLEY HEALTHCARE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1271 ROSS AVE STE E
EL CENTRO CA
92243-4304
US

IV. Provider business mailing address

1271 ROSS AVE STE E
EL CENTRO CA
92243-4304
US

V. Phone/Fax

Practice location:
  • Phone: 760-482-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA G RAMIREZ VELIZ
Title or Position: DIRECTOR PATIENT ACCOUNTING
Credential:
Phone: 760-351-3341