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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INTEGRATIVE DIAGNOSTIC GROUP INC

Active Organization

INTEGRATIVE DIAGNOSTIC GROUP INC is a Adolescent Medicine organization located in CERRITOS, California. NPI 1104373745 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · CERRITOS, CA

Registration Details

NPI Number
1104373745
Provider Type
Organization
NPI Issued
Sep 1, 2016 (9.9685042546697 yrs)
Last Updated
Sep 1, 2016
Licenses
PSY6247 (CA)
A30411 (CA)

Practice Information

Address
12231 ARTESIA BLVD
CERRITOS, CA, 907032750
Browse CA providers · Browse ZIP 90703
Phone
5626530180
Fax
5624023029
Primary Specialty
Adolescent Medicine
207QA0505X
Additional Specialty
Adolescent Medicine

Other Adolescent Medicine Organizations in CERRITOS, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.