# INTEGRATIVE WELLNESS MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497294243
- **Authorized official:** DR. JOSEPH MICHAEL TAGLIARINI D.C. (VICE PRESIDENT)
- **Authorized official phone:** (949) 836-4477

## Contact information

- **Practice address:** 1800 N BUSH ST STE 102, SANTA ANA, CA 92706-4110
- **Practice address phone:** (949) 722-4001
- **Practice address fax:** (714) 547-8788
- **Mailing address:** PO BOX 19188, IRVINE, CA 92623-9188
- **Mailing address phone:** (949) 722-4001
- **Mailing address fax:** (714) 547-8788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 75231 | CA | Yes |

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 02/13/2017