Healthcare Provider Details

I. General information

NPI: 1538224829
Provider Name (Legal Business Name): IMMEDIATE FAMILY MEDICAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 W VALLEY PKWY STE.150
ESCONDIDO CA
92025-2534
US

IV. Provider business mailing address

1334 W. STATE ST. STE. B
EL CENTRO CA
92243-2843
US

V. Phone/Fax

Practice location:
  • Phone: 760-740-0707
  • Fax: 760-735-3235
Mailing address:
  • Phone: 760-337-1771
  • Fax: 760-735-3235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberG35849
License Number StateCA

VIII. Authorized Official

Name: DR. FREDERICK ARBENZ
Title or Position: OWNER
Credential: M.D.
Phone: 760-740-0707