INTEGRATIVE DIAGNOSTIC GROUP INC NPI 1104373745

NPI Information

INTEGRATIVE DIAGNOSTIC GROUP INC is an adult medicine family medicine in Cerritos, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. INTEGRATIVE DIAGNOSTIC GROUP INC NPI is 1104373745. The provider is registered as an organization entity type.
The provider Other Name Is Integrative Diagnostic Group Inc.

The provider's business location address is:

12231 ARTESIA BLVD
CERRITOS, CA
ZIP 90703-750
Phone: (562) 653-0180
Fax: (562) 402-3029

The provider's authorized official is Anil K Ganghi .
The authorized official title is President and has the following contact phone number (562) 653-0180.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/1/2016.

Taxonomy Codes

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Other Identifiers

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