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Organization
INTEGRATED GLOBAL CONCEPTS MEDICAL GROUP INC.
Active
Organization
INTEGRATED GLOBAL CONCEPTS MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL B BRENNER M.D. (OWNER)
(714) 572-2039
Entity
Organization
Contact information
Practice address
377 E CHAPMAN AVE, SUITE #240, PLACENTIA, CA 92870-5055
(714) 572-2039
(714) 572-3929
Mailing address
377 E CHAPMAN AVE, SUITE #240, PLACENTIA, CA 92870-5055
(714) 572-2039
(714) 572-3929
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
WG63953E
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086950
—
CA
Enumeration date
07/02/2006
Last updated
05/19/2009
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