Integrative Medical Center in Santa Ana - Physician Assistant
Integrative Medical Center - NPI 1215030747
Integrative Medical Center is a Physician Assistant in Santa Ana, California. Integrative Medical Center practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Integrative Medical Center is 1215030747. The last update date is 2020-08-22.
Integrative Medical Center's current location address is 526 W 17th St, Santa Ana, California. You can contact this provider via phone number 7145589355 and fax number 7145580870. The mailing address for Integrative Medical Center is 526 W 17th St, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Integrative Medical Center |
|---|---|
| Address | 526 W 17th St, Santa Ana, California |
| Phone Number | 7145589355 |
| Fax Number | 7145580870 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jayasinghe Walter |
| Credentials | M.D. |
| Telephone Number | 2134832620 |
NPI Number Detail
| NPI Number | 1215030747 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 526 W 17th St |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 927063619 |
| Phone Number | 7145589355 |
| Fax Number | 7145580870 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA14480 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0015600 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Integrative Medical Center by the Centers for Medicare & Medicaid Services?
The Integrative Medical Center has been assigned the NPI (National Provider Identifier) 1215030747 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Integrative Medical Center's facilities are situated?
The facilities of Integrative Medical Center are physically located at the following address: 526 W 17Th St, Santa Ana, CA, 927063619.
What is the area of specialization for Integrative Medical Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Integrative Medical Center is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Integrative Medical Center receive its 1215030747 assignment from the Centers for Medicare & Medicaid Services?
The Integrative Medical Center was assigned its 1215030747 by the Centers for Medicare & Medicaid Services on 2006-09-07.
As of what date was the information pertaining to Integrative Medical Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Integrative Medical Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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