IMD MEDICAL GROUP INC
NPI 1508804006
Clinic/Center - Primary Care in Los Angeles, CA

Active since June 04, 2006CLIA 05D0973916 · Waiver
1234 N VERMONT AVE, LOS ANGELES, CA 90029(213) 487-6867(213) 487-6811 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imd Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMD MEDICAL GROUP INC (NPI 1508804006) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Imad El Asmar, President, as its authorized official.

NPPES Registry Identity

NPI1508804006
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameIMD MEDICAL GROUP INC
Location Address1234 N VERMONT AVELos Angeles, CA 90029-1704
Mailing Address1234 N Vermont AveLos Angeles, CA 90029-1704 · (213) 487-6867 · Fax (213) 487-6811
Fax(213) 487-6811
Organization SubpartNo
Authorized OfficialImad El AsmarPresident · (213) 487-6867
Enumeration DateJune 4, 2006
Last NPPES UpdateDecember 10, 2015
NPI 1508804006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Licenses Licensed in CA · A61923 Licensed in CA · A89382
1234 N VERMONT AVE, Los Angeles, CA 90029

Other Identifiers 2

MedicaidGR0093890CA
Medicare PINW16075CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0973916

Imd Medical Group Inc · Los Angeles, CA
Active · expires May 22, 2028
CLIA Number05D0973916
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorImad El Asmar MD
Laboratory Phone(323) 660-5624
Laboratory LocationImd Medical Group Inc1234 N Vermont Ave, Los Angeles, CA 90029
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
1234 N VERMONT AVE
LOS ANGELES, CA 90029
Nurse Practitioner (Acute Care)
1234 N VERMONT AVE
LOS ANGELES, CA 90029
Family Medicine
1234 N VERMONT AVE
LOS ANGELES, CA 90029
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1234 N VERMONT AVE
LOS ANGELES, CA 90029
Nurse Practitioner (Family)
1234 N VERMONT AVE
LOS ANGELES, CA 90029
Preventive Medicine (Occupational Medicine)
1234 N VERMONT AVE
LOS ANGELES, CA 90029
Nurse Practitioner (Primary Care)
1234 N VERMONT AVE
LOS ANGELES, CA 90029
Internal Medicine (Interventional Cardiology)
1234 N VERMONT AVE, SUITE 2
LOS ANGELES, CA 90029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imd Medical Group Inc's NPI number?

The NPI number for Imd Medical Group Inc is 1508804006. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Imd Medical Group Inc located?

Imd Medical Group Inc is located at 1234 N Vermont Ave, Los Angeles, CA 90029. The listed phone number is (213) 487-6867.

What is Imd Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Imd Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0973916) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Imd Medical Group Inc was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.