INTEGRATIVE MEDICAL GROUP, INC., A PROFESSIONAL CORPORATION (NPI# 1013364397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013364397 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE MEDICAL GROUP, INC., A PROFESSIONAL CORPORATION |
| Practice Address |
2200 W 3rd St Ste 120a Los Angeles CA 90057-5901 |
| Practice Telephone | 3109053331 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |
| Authorized Official Name | RYAN SPIVAK (PRESIDENT) |
| Authorized Official Telephone | 3109053331 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
2200 W 3RD ST STE 120A |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1164943460 | Precision Surgical Solutions | Plastic Surgery | 1215 Brockton Ave Apt 205, Los Angeles, CA 90025-1390 | 2017-06-28 |
| 1568903888 | Maxwell Bates Johnson | Plastic Surgery | 5622 Kendall Ave, Los Angeles, CA 90032-1328 | 2017-03-20 |
| 1912450065 | Socal Plastic Surgery | Plastic Surgery | 11870 Santa Monica Blvd Ste 106-549, Los Angeles, CA 90025-2276 | 2016-07-25 |
| 1962811786 | Michel Fernando Brones | Plastic Surgery | 10624 Chalon Rd, Los Angeles, CA 90077-3313 | 2014-08-06 |
| 1912321878 | Don Hoang | Plastic Surgery | 1200 N State St, Clinic Tower Suite A7d, Graduate Medical Education Lac Usc Medical Center, Los Angeles, CA 90033 | 2014-02-13 |
| 1518212588 | Jessica Ann Lee | Plastic Surgery | 4650 W Sunset Blvd # Ms 96, Los Angeles, CA 90027 | 2012-07-17 |
| 1487927992 | Frank Dennis Dufour | Plastic Surgery | 919 Airole Way, Los Angeles, CA 90077-2601 | 2012-02-14 |
| 1033409420 | Casian Joseph Monaco | Plastic Surgery | 200 Medical Plaza Suite 465, Los Angeles, CA 90095-6402 | 2011-04-19 |
| 1134421571 | Won H Bae | Plastic Surgery | 2727 W Olympic Blvd Ste 304, Los Angeles, CA 90006-2699 | 2010-11-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
Please comment or provide details below to improve the information on INTEGRATIVE MEDICAL GROUP, INC., A PROFESSIONAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.