Organization
INTEGRATIVE PSYCHIATRY A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRIGOR GRIGORYAN DNP (CEO/PARTNER)
(949) 309-7903
Entity
Organization
Contact information
Practice address
29982 IVY GLENN DR, #203, LAGUNA NIGUEL, CA 92677
(949) 309-7903
(949) 716-5243
Mailing address
29982 IVY GLENN DR, #203, LAGUNA NIGUEL, CA 92677
(949) 309-7903
(949) 716-5243
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
A775921
CA
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
12/21/2021
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