Organization
ARK INTEGRATIVE MEDICINE AND THERAPEUTICS PC
Active
Organization
ARK INTEGRATIVE MEDICINE AND THERAPEUTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GERSHENZON (CHIEF FINANCIAL OFFICER)
(937) 838-0568
Entity
Organization
Contact information
Practice address
15785 LAGUNA CANYON RD STE 125, IRVINE, CA 92618-3140
(866) 542-2865
Mailing address
15785 LAGUNA CANYON RD STE 125, IRVINE, CA 92618-3140
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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