Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Icm Medical Group, Inc

Organization Pulmonary Disease Physician · NPI 1467401000

Icm Medical Group, Inc is a Pulmonary Disease Physician in Inglewood, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

211 N Prairie Ave
Inglewood, CA 90301-1412
Phone: (310) 673-4000
Fax: (310) 673-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 2825600 (CA)

Record details

NPI number1467401000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanuel Sima — President · (310) 989-1224
NPI enumeratedMay 10, 2006
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing addressPo Box 1698, Inglewood, CA 90308-1698

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