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

Imperial Beach Community Clinic

Organization Family Medicine Physician · NPI 1508028200

Imperial Beach Community Clinic is a Family Medicine Physician in Imperial Beach, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

949 Palm Ave
Imperial Beach, CA 91932-1503
Phone: (619) 429-3733
Fax: (619) 429-6457
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (CA)

Record details

NPI number1508028200
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationImperial Beach Community Clinic
Authorized official Constance Kirk — Executive Director · (619) 429-5387
Other names Imperial Beach Health Center
NPI enumeratedJune 25, 2008
Last updated in NPPESJune 25, 2008
Mailing addressPo Box 459, Imperial Beach, CA 91933-0459

Other providers in Imperial Beach