Integrative Diagnostic Group INC
NPI #1104373745 in Cerritos, California
Provider Information
- NPI Number
- 1104373745
- Entity Type
- Organization
- Organization Name
- Integrative Diagnostic Group INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- INTEGRATIVE DIAGNOSTIC GROUP INC
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Sep 1, 2016
Practice Location
- Address
- 12231 ARTESIA BLVD
- City
- Cerritos
- State
- California
- ZIP Code
- 90703-2750
- Phone
- (562) 653-0180
Authorized Official
- Name
- MR. ANIL K GANGHI, MD.
- Title
- PRESIDENT
- Phone
- (562) 653-0180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
| Family Medicine - Adult Medicine — Adult Medicine |
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