Integrative Medical Center

NPI 1215030747 - Family Medicine - 207Q00000X

NPI Details
NPI 1215030747
Enumeration Date 09/07/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WALTER WALTER
Position OWNER
Phone (714) 558-9355
Fax (714) 558-0870
Practice Location
526 W 17TH ST
SANTA ANA CA, 92706-3619, US
Phone (714) 558-9355
Fax (714) 558-0870
Business Location
1930 WILSHIRE BLVD
STE 1100
LOS ANGELES CA, 90057-3605, US
Phone (213) 483-2620
Fax (213) 483-7918
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A31911
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According to our database, Integrative Medical Center NPI is 1215030747, taxonomy code is 207Q00000X and license number is A31911, license state is located at California. Integrative Medical Center physically located at 526 W 17th St, Santa Ana CA, 92706-3619. NPI Number 1033115704 has the healthcare provider type.

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1215030747 NPI number is provided on an as is basis without warranty of any kind. 1215030747 is maintained by the National Plan & Provider Enumeration System. The contents of Integrative Medical Center are for informational purposes only.