INTEGRATIVE WELLNESS MEDICAL GROUP, INC (NPI# 1497294243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497294243 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE WELLNESS MEDICAL GROUP, INC |
| Practice Address |
1800 N Bush St Ste 102 Santa Ana CA 92706-4110 |
| Mailing Address |
Po Box 19188 Irvine CA 92623-9188 |
| Practice Telephone | 9497224001 |
| Practice Fax Number | 7145478788 |
| Mailing Telephone | 9497224001 |
| Mailing Fax Number | 7145478788 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | DR. JOSEPH MICHAEL TAGLIARINI (VICE PRESIDENT) |
| Authorized Official Telephone | 9498364477 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 75231 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1800 N BUSH ST STE 102 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92706-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1366962854 | Jankee Pandya | Counselor | 2215 N. Broadway, Ste 200, Santa Ana, CA 92706 | 2017-06-26 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1942617790 | Janice Botzbach | Behavioral Analyst | 1912 N. Broadway Suite 108, Santa Ana, CA 92706 | 2014-07-14 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1740527274 | Jeremy Nishimoto | Counselor | 2100 N. Broadway Ste 101, Santa Ana, CA 92706 | 2013-01-03 |
| 1326392390 | Rosemary Sara Chesters | Marriage & Family Therapist | 921 West Seventeenth Street, Santa Ana, CA 92706 | 2012-10-30 |
| 1790032019 | Jee Hoon Ha | Dentist | 1313 W 17th St Ste B, Santa Ana, CA 92706 | 2012-08-06 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in zip 92706 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871083188 | Alliance of Latino Health Services Medical Group Inc | General Practice | 517 N Main St Ste 220, Santa Ana, CA 92701-6703 | 2018-05-11 |
| 1013454495 | Marco M Zahedi M D A Medical Corporation | General Practice | 1200 N Tustin Ave Ste 120, Santa Ana, CA 92705-6502 | 2017-01-24 |
| 1861849267 | Medical Clinic Management | General Practice | 1125 E 17th St Ste W237, Santa Ana, CA 92701-2205 | 2016-05-16 |
| 1477988004 | Tuan Anh Phan | General Practice | 1405 N Bristol St, Santa Ana, CA 92706-3303 | 2013-09-13 |
| 1972825305 | San Antonio Medical Center Inc. | General Practice | 610 W. 17th Street, Santa Ana, CA 92706 | 2010-02-26 |
| 1316194418 | David Paul Quintero | General Practice | 1710 E 17th St Ste B, Santa Ana, CA 92705-8622 | 2008-08-20 |
| 1710146295 | Sunita Lohiya | General Practice | 1120 W Warner, #a, Santa Ana, CA 92799-6098 | 2008-06-09 |
| 1356427595 | Geoffrey David Furman | General Practice | 801 N Tustin Ave Ste 602, Santa Ana, CA 92705-3610 | 2006-10-31 |
| 1174612279 | Joseph Anthony Serna | General Practice | 2620 S Bristol St Ste B, Santa Ana, CA 92704-5727 | 2006-10-12 |
| 1548367436 | Lucy Mayela Saenz | General Practice | 1215 E 17th Street, Santa Ana, CA 92701-2640 | 2006-09-20 |
| Find all providers in SANTA ANA | ||||
Please comment or provide details below to improve the information on INTEGRATIVE WELLNESS MEDICAL GROUP, INC.
| 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.