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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