Organization
INTEGRAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZHANNA VERKH M.D. (MEDICAL DIRECTOR)
(858) 729-0305
Entity
Organization
Contact information
Practice address
4225 EXECUTIVE SQ STE 355, LA JOLLA, CA 92037-1483
(858) 729-0305
(858) 729-0232
Mailing address
4225 EXECUTIVE SQ STE 355, LA JOLLA, CA 92037-1483
(858) 729-0305
(858) 729-0232
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A061830
CA
Other
Enumeration date
11/20/2007
Last updated
07/28/2011
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