Integrated Healthcare Medical Group
LBN: Integrated Healthcare Medical Group
Integrated Healthcare Medical Group is an health care organization with primary practice located at 1762 Westwood Blvd Suite 300, Los Angeles CA 90024-5632. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty.
Integrated Healthcare Medical Group can be contacted via phone (310) 441-2000, or through Broukhim, Kamran via phone (310) 441-2000.
Contact Information
Primary practice address
1762 Westwood Blvd Suite 300
Los Angeles CA 90024-5632
Phone: (310) 441-2000
Fax: (310) 441-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | A38857 | California |
Profile Details
| NPI number | 1568655124 |
|---|---|
| LBN Legal business name | Integrated Healthcare Medical Group |
| DBA Doing business as | |
| Authorized official | Broukhim, Kamran Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 27th, 2007 |
| Last updated | Aug 27th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568655124 | NPPES |
| California | Other | RCF00030F | RCFE PROVIDER |
| California | MEDICAID | GR0085621 | RCFE PROVIDER |
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