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

Icpmd

Organization General Practice Physician · NPI 1609763721

Icpmd is a General Practice Physician in Imperial, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

207 E Barioni Blvd Ste A
Imperial, CA 92251-1620
Phone: (760) 355-2999
Fax: (760) 768-5037
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1609763721
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mervat Kelada — Ceo · (760) 562-6633
NPI enumeratedJune 20, 2025
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address1001 Blair Ave, Calexico, CA 92231-2308

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