Organization
INTEGRATIVE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA HALE (ADMINISTRATOR)
(714) 558-9355
Entity
Organization
Contact information
Practice address
526 W 17TH ST, SANTA ANA, CA 92706-3619
(714) 558-9355
(714) 558-0870
Mailing address
526 W 17TH ST, SANTA ANA, CA 92706-3619
(714) 558-9355
(714) 558-0870
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A53229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336275981
—
CA
Enumeration date
03/18/2009
Last updated
03/18/2009
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