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:
Map and Directions
Authorized official contact:
Name: Ganghi, Anil K Doctor of Medicine (MD)
Phone: (562) 653-0180

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104373745 NPPES
California MEDICAID 1972824753

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