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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

NPI Number 1720268980
LBN Legal business name INTEGRATIVE PSYCHIATRY A MEDICAL CORPORATION
Authorized official GRIGOR GRIGORYAN - (CEO/PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2007
Last updated 12/21/2021 - About 4 years ago
Identifiers
CA License # A775921
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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