Executive Intergrated Medical Group, Inc.
LBN: Executive Intergrated Medical Group, Inc.
Executive Intergrated Medical Group, Inc. is an health care organization with primary practice located at 3605 Long Beach Blvd Ste 304 , Long Beach CA 90807-6018. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Addiction Psychiatry is the primary health care specialty.
Executive Intergrated Medical Group, Inc. can be contacted via phone (310) 559-5916, or through Bijanpour, Kamal via phone (310) 559-5916.
Contact Information
Primary practice address
3605 Long Beach Blvd Ste 304
Long Beach CA 90807-6018
Phone: (310) 559-5916
Fax: (310) 559-5466
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | A109162 | California |
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | A109162 | California |
Profile Details
NPI number | 1326575812 |
---|---|
LBN Legal business name | Executive Intergrated Medical Group, Inc. |
DBA Doing business as | |
Authorized official | Bijanpour, Kamal Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 16th, 2017 |
Last updated | Jul 21st, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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