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

Imperial County Pediatric Associates, Inc

Organization Exclusive Provider Organization · NPI 1164319463

Imperial County Pediatric Associates, Inc is an Exclusive Provider Organization in El Centro, California. Registered with an NPI since 2025.

In the registry since
2025
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

702 Wake Ave
El Centro, CA 92243-7502
Phone: (760) 352-7216
Show map & directions

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

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X

Record details

NPI number1164319463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lan Phan — Administrator · (626) 656-2370
NPI enumeratedJune 19, 2025
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address6 Veranda, Newport Coast, CA 92657-1632