Integrative Diagnostic Group Inc
LBN: Integrative Diagnostic Group Inc
Integrative Diagnostic Group Inc is an health care organization with primary practice located at 12231 Artesia Blvd , Cerritos CA 90703-2750. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty.
Integrative Diagnostic Group Inc can be contacted via phone (562) 653-0180, or through Ganghi, Anil K via phone (562) 653-0180.
Contact Information
Primary practice address
12231 Artesia Blvd
Cerritos CA 90703-2750
Phone: (562) 653-0180
Fax: (562) 402-3029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | A30411 | California |
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | PSY6247 | California |
Profile Details
| NPI number | 1104373745 |
|---|---|
| LBN Legal business name | Integrative Diagnostic Group Inc |
| DBA Doing business as | Integrative Diagnostic Group Inc |
| Authorized official | Ganghi, Anil K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Sep 1st, 2016 - about 8 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 | 1104373745 | NPPES |
| California | MEDICAID | 1972824753 |
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