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Contact Information

INTEGRATIVE PSYCHIATRY A MEDICAL CORPORATION
29982 IVY GLENN DR
#203
LAGUNA NIGUEL, CA92677
 Phone: 949-309-7903
 Fax: 949-716-5243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for INTEGRATIVE PSYCHIATRY A MEDICAL CORPORATION · (Female)

NPI # 1720268980
Status Active
Credentials
Entity Individual
Enumeration date 11/05/2007
Last updated 12/21/2021 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A775921
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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