Integrated Medical Group Inc, NPI 1871931741
Primary Care Nurse Practitioner in Carson, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1871931741
NPI Entity Type Organization
Provider Name Integrated Medical Group Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 208 E Carson St Ste 101, Carson, CA, US
Provider Mailing Address 8622 Reseda Blvd Ste 200, Northridge, CA, US, 913244091
Is Sole Proprietor? No
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Organization Official

Official Name MR. Charles Simbulan
Official Position CEO
Phone 818-224-9390

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

363LP2300X

Taxonomy Name Primary Care Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. C3565047
License State CA
Description Definition to come...

Business Address

Integrated Medical Group Inc
208 E Carson St Ste 101

Carson, CA, US

Phone: 818-224-9390
Fax: 818-938-1538

Mailing Address

Integrated Medical Group Inc
8622 Reseda Blvd Ste 200
Northridge, CA, US
ZIP 913244091
Phone: 818-224-9390
Fax: 818-938-1538

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