| Integral Medical Group, Inc. | |
|
4225 Executive Sq Ste 355 La Jolla CA 92037-1483 | |
| (858) 729-0305 | |
| (858) 729-0232 |
| Full Name | Integral Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 4225 Executive Sq Ste 355, La Jolla, California |
| Authorized Official Name and Position | Zhanna Verkh (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8587290305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Medical Group, Inc. 4225 Executive Sq Ste 355 La Jolla CA 92037-1483 Ph: (858) 729-0305 | Integral Medical Group, Inc. 4225 Executive Sq Ste 355 La Jolla CA 92037-1483 Ph: (858) 729-0305 |
| NPI Number | 1962683755 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 07/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962683755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A061830 (California) | Primary |
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