Organization
INTEGRATIVE MEDICINE ASSOCIATES PC
Active
Organization
INTEGRATIVE MEDICINE ASSOCIATES PC
Active
Other names
LIFESCORE MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP MARK MILGRAM M.D. (PRESIDENT)
(858) 455-6100
Entity
Organization
Contact information
Practice address
8899 UNIVERSITY CENTER LN, SUITE 100 SAN DIEGO, SAN DIEGO, CA 92122-1013
(858) 455-6100
(858) 558-1884
Mailing address
8899 UNIVERSITY CENTER LN, SUITE 100 SAN DIEGO, SAN DIEGO, CA 92122-1013
(858) 455-6100
(858) 558-1884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G47356
CA
207RC0000X
Cardiovascular Disease Physician
A43603
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
G47356
CA
207V00000X
Obstetrics & Gynecology Physician
A35411
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
A35411
CA
2083P0901X
Public Health & General Preventive Medicine Physician
G47356
CA
Other
Enumeration date
03/09/2008
Last updated
11/18/2008
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