Integral Medical Group, Inc. in La Jolla - Child & Adolescent Psychiatry

Integral Medical Group, Inc. - NPI 1962683755

Integral Medical Group, Inc. is a Child & Adolescent Psychiatry in La Jolla, California. Integral Medical Group, Inc. practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Integral Medical Group, Inc. is 1962683755. The last update date is 2011-07-28.

Integral Medical Group, Inc.'s current location address is 4225 Executive Sq Ste 355, La Jolla, California. You can contact this provider via phone number 8587290305 and fax number 8587290232. The mailing address for Integral Medical Group, Inc. is 4225 Executive Sq Ste 355, La Jolla, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Integral Medical Group, Inc.
Address 4225 Executive Sq Ste 355, La Jolla, California
Phone Number 8587290305
Fax Number 8587290232
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Verkh Zhanna
Credentials M.D.
Telephone Number 8587290305

NPI Number Detail

NPI Number 1962683755
Provider Enumeration Date 2007-11-20
Last Updated Date 2011-07-28

Provider Mailing Address Detail

Address 4225 Executive Sq Ste 355
City La Jolla
State California (CA)
Post Code 920371483
Phone Number 8587290305
Fax Number 8587290232

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No A061830
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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FAQs about Integral Medical Group, Inc.

What is the unique 10-digit identifier code issued to Integral Medical Group, Inc. by the Centers for Medicare & Medicaid Services?

The Integral Medical Group, Inc. has been assigned the NPI (National Provider Identifier) 1962683755 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Integral Medical Group, Inc. is physically located?

The Integral Medical Group, Inc. is physically situated at the following address: 4225 Executive Sq Ste 355, La Jolla, CA, 920371483.

What is the Integral Medical Group, Inc.'s specialty and taxonomy code?

The Integral Medical Group, Inc.'s specialty is Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.

When did Integral Medical Group, Inc. receive its 1962683755 assignment?

The Integral Medical Group, Inc. was assigned its 1962683755 on 2007-11-20, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Integral Medical Group, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Integral Medical Group, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-07-28.

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