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

Legacy MD Medical Group Inc

Organization Behavior Analyst · NPI 1073210753

Legacy MD Medical Group Inc is a Behavior Analyst in El Centro, California. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
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

1699 N Imperial Ave
El Centro, CA 92243-1320
Phone: (760) 550-1685
Fax: (888) 631-5150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 E Cole Blvd Ste C, Calexico, CA 92231-3211 — (760) 550-1685

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Behavior Analyst Taxonomy 103K00000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X
Urgent Care Clinic/Center Taxonomy 261QU0200X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1073210753
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Strong — President · (760) 550-1685
NPI enumeratedFebruary 13, 2023
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026
Mailing address1699 N Imperial Ave, El Centro, CA 92243-1320

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