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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