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Organization
INTEGRATED HEALTHCARE MEDICAL GROUP INC.
Active
Organization
INTEGRATED HEALTHCARE MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IFRAIN CONTRERAS (ADMINISTRATOR)
(310) 419-4303
Entity
Organization
Contact information
Practice address
1762 WESTWOOD BLVD STE 300, LOS ANGELES, CA 90024-5641
(310) 441-2000
(310) 441-2020
Mailing address
1762 WESTWOOD BLVD STE 300, LOS ANGELES, CA 90024-5641
(310) 441-2000
(310) 441-2020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A38857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0085620
—
CA
05
—
GR0085621
—
CA
Enumeration date
08/05/2006
Last updated
08/06/2024
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