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

Icm Medical Group, Inc

Organization Pulmonary Disease Physician · NPI 1467401000

Icm Medical Group, Inc provides Pulmonary Disease Physician services in Inglewood, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

211 N Prairie Ave
Inglewood, CA 90301-1412
Phone: (310) 673-4000
Fax: (310) 673-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 2825600 (CA)

Record details

NPI number1467401000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanuel Sima — President · (310) 989-1224
NPI enumeratedMay 10, 2006
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing addressPo Box 1698, Inglewood, CA 90308-1698

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