Organization
INTEGRATED HEALTH CONCEPTS, INC.
Active
Other names
Conversio Health
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR CLINE (CEO)
(940) 395-6726
Entity
Organization
Contact information
Practice address
720 AEROVISTA PL, SUITE D, SAN LUIS OBISPO, CA 93401-8726
(866) 239-3784
(800) 977-9255
Mailing address
720 AEROVISTA PL, SUITE D, SAN LUIS OBISPO, CA 93401-8726
(866) 239-3784
(800) 977-9255
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY 51610
CA
333600000X
Pharmacy
Primary
PHY46553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027478940001
—
PA
05
—
1514775
—
TN
05
—
1962493700
—
UT
05
—
1962493700
—
VA
05
—
26080079
—
NM
05
—
2980690
—
TX
05
—
3011412
—
OH
05
—
482881
—
AZ
05
—
510550100
—
MD
05
—
7100224530
—
KY
05
—
8870600
—
FL
05
—
PHA465530
—
CA
Enumeration date
11/01/2005
Last updated
09/14/2023
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