ICU423R NPI 1528752300

NPI Information

  • NPI: 1528752300
  • Provider Name: ICU423R
  • Classification: Integrative Medicine - 202D00000X
  • Entity Type: Organization
  • Address: 1101 W GUADALUPE RD STE 1
    MESA, AZ
    ZIP 85210
  • Phone: (480) 788-5621

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NPI Details

ICU423R is an integrative medicine in Mesa, AZ. The provider is a physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing. ICU423R NPI is 1528752300. The provider is registered as an organization entity type.

The provider's business location address is:

1101 W GUADALUPE RD STE 1
MESA, AZ
ZIP 85210-601
Phone: (480) 788-5621
Fax: (480) 779-1277

The provider's authorized official is Kiup A Kim .
The authorized official title is Owner and has the following contact phone number (602) 730-6438.

The enumeration date for this NPI number is 6/6/2023 and was last updated on 6/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2202D00000XIntegrative MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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