# INTEGRATED GLOBAL CONCEPTS MEDICAL GROUP INC.

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

## Provider details

- **NPI number:** 1851320824
- **Authorized official:** DR. MICHAEL B BRENNER M.D. (OWNER)
- **Authorized official phone:** (714) 572-2039

## Contact information

- **Practice address:** 377 E CHAPMAN AVE, SUITE \#240, PLACENTIA, CA 92870-5055
- **Practice address phone:** (714) 572-2039
- **Practice address fax:** (714) 572-3929
- **Mailing address:** 377 E CHAPMAN AVE, SUITE \#240, PLACENTIA, CA 92870-5055
- **Mailing address phone:** (714) 572-2039
- **Mailing address fax:** (714) 572-3929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | WG63953E | CA | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 05/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0086950 | — | CA |