| Integrative Wellness Medical Group, Inc | |
|
1800 N Bush St Ste 102 Santa Ana CA 92706-4110 | |
| (949) 722-4001 | |
| (714) 547-8788 |
| Full Name | Integrative Wellness Medical Group, Inc |
|---|---|
| Speciality | General Practice |
| Location | 1800 N Bush St Ste 102, Santa Ana, California |
| Authorized Official Name and Position | Joseph Michael Tagliarini (VICE PRESIDENT) |
| Authorized Official Contact | 9498364477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Wellness Medical Group, Inc Po Box 19188 Irvine CA 92623-9188 Ph: (949) 722-4001 | Integrative Wellness Medical Group, Inc 1800 N Bush St Ste 102 Santa Ana CA 92706-4110 Ph: (949) 722-4001 |
| NPI Number | 1497294243 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497294243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 75231 (California) | Primary |
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