INTEGRATIVE ORIENTAL MEDICINE, INC (NPI# 1417177858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417177858 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE ORIENTAL MEDICINE, INC |
| Practice Address |
6030 Santo Rd Suite C San Diego CA 92124-1196 |
| Mailing Address |
Po Box 420063 San Diego CA 92142-0063 |
| Practice Telephone | 8587618130 |
| Practice Fax Number | 8582925827 |
| Mailing Telephone | 8587618130 |
| Mailing Fax Number | 8582925827 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALAN TUYEN VUONG (PRESIDENT) |
| Authorized Official Telephone | 8587618130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT28010 | CA | Ambulatory Health Care Facilities |
| Street Address |
6030 SANTO RD SUITE C |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92124-1196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696142 | Miles Ivan Bodzin | Chiropractor | 6030 Santo Rd, Suite D, San Diego, CA 92124-1196 | 2005-08-15 |
| 1013281385 | San Diego Family Hearing Aid Center, Inc. | Hearing Aid Equipment | 6030 Santo Rd, Suite C, San Diego, CA 92124-1196 | 2012-03-02 |
| 1093086530 | Nicole Marie Kushch | Hearing Instrument Specialist | 6030 Santo Rd, Suite C, San Diego, CA 92124-1196 | 2012-01-13 |
| 1003057548 | Dayna Joelle Blum | Chiropractor | 6030 Santo Rd, Suite D, San Diego, CA 92124-1196 | 2009-03-12 |
| 1720238710 | Timothy C Christian | Dentist | 6030 Santo Rd, Suite E, San Diego, CA 92124-1196 | 2008-09-25 |
| 1598978934 | Alan Tuyen Vuong | Physical Therapist | 6030 Santo Rd, Suite C, San Diego, CA 92124-1196 | 2007-05-08 |
| 1710005541 | Bodzin Chiropractic Professional Corporation | Chiropractor | 6030 Santo Rd, D, San Diego, CA 92124-1196 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150334 | Paullette Michelle Rosette | Marriage & Family Therapist | 5421 Escarchosa Lane, San Diego, CA 92124 | 2018-10-22 |
| 1699253179 | Laura Lychelle Kime | Behavioral Analyst | 4256 Tambor Ct, San Diego, CA 92124 | 2018-08-06 |
| 1720506850 | Jonathan Jacobs | Military Health Care Provider | 3064 Taussig St, San Diego, CA 92124 | 2017-09-08 |
| 1568856235 | Alvin Nguyen | Student in an Organized Health Care Education/Training Program | 10872 Portobelo Dr., San Diego, CA 92124 | 2015-03-20 |
| 1346552064 | Jeffrey Thomas Gilbert | Military Health Care Provider | 3841 Colina Dorado Dr, Apartment G108, San Diego, CA 92124 | 2010-07-10 |
| 1023334158 | Billy L Fuson Jr. | Military Health Care Provider | 6656 Antigua Blvd, San Diego, CA 92124 | 2010-04-14 |
| 1386866473 | Ephraim J. Tabornal, Dds, Inc. | Dentist | 10850 Baroque Lane, Suite C, San Diego, CA 92124 | 2007-05-02 |
| 1538255245 | Lisa Anne Hazlewood-hunt | Psychologist | 11770 Bernardo Plaza Ct. Suite 260, San Diego, CA 92124 | 2006-10-04 |
| 1740393586 | Brian L Mcdonald | Physical Therapist | 5950 Santo Road, Suite D, San Diego, CA 92124 | 2006-08-16 |
| 1003820614 | Eileen Louise Holman | Social Worker | 6586 Ambrosia Drive, #5204, San Diego, CA 92124 | 2006-07-28 |
| Find all providers in zip 92124 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1972163426 | Digital Health Physical Therapy Corp | Clinic/Center | 225 Broadway Ste 300, San Diego, CA 92101-5010 | 2019-06-17 |
| 1750842829 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 16925 Hierba Dr, San Diego, CA 92128-2688 | 2019-03-29 |
| 1285126599 | Mel's Physical Therapy, Inc. | Clinic/Center | 5621 Dwight St, San Diego, CA 92105-3843 | 2018-06-01 |
| 1215424213 | New Phyzio Physical Therapy, PC | Clinic/Center | 10801 Thornmint Rd Ste 250, San Diego, CA 92127-2421 | 2018-04-16 |
| 1578082319 | Therapy South, PC | Clinic/Center | 4850 Coronado Ave, San Diego, CA 92107-3316 | 2017-09-13 |
| 1194241679 | Carter Ryan Phillips | Clinic/Center | 3535 General Atomics Ct, San Diego, CA 92121-1140 | 2017-08-16 |
| 1073968582 | Neurotrace | Clinic/Center | 4611 Virginia Ave, San Diego, CA 92115-4130 | 2016-05-03 |
| 1639574189 | Functional Capacity Interventions | Clinic/Center | 4947 Twain Ave, San Diego, CA 92120-4217 | 2014-10-27 |
| 1639573116 | Restoration Physical Therapy | Clinic/Center | 870 Diamond St Apt 105, San Diego, CA 92109-2557 | 2014-10-13 |
| Find all providers in SAN DIEGO | ||||
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| 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.