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INTEGRATIVE DIAGNOSTIC GROUP INC
NPI 1104373745
Family Medicine - Adult Medicine in Cerritos, CA

Active since September 01, 2016
12231 ARTESIA BLVD, CERRITOS, CA 90703(562) 653-0180(562) 402-3029 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Integrative Diagnostic Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATIVE DIAGNOSTIC GROUP INC (NPI 1104373745) is a healthcare organization registered as an adult medicine in Cerritos, California and active in the NPI registry since September 2016. The organization lists Anil K Ganghi, President, as its authorized official.

NPPES Registry Identity

NPI1104373745
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameINTEGRATIVE DIAGNOSTIC GROUP INC
Location Address12231 ARTESIA BLVDCerritos, CA 90703-2750
Mailing Address1231 Artesia BlvdCerritos, CA 90703-2750 · (562) 653-0180 · Fax (562) 402-3029
Phone(562) 653-0180
Fax(562) 402-3029
Organization SubpartYes
Authorized OfficialAnil K GanghiPresident · (562) 653-0180
Enumeration DateSeptember 1, 2016
✔ NPI 1104373745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · A30411
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X · License PSY6247 (CA)
12231 ARTESIA BLVD, Cerritos, CA 90703
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Other Names 1

Other NameIntegrative Diagnostic Group Inc

Other Identifiers 1

Medicaid1972824753CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrative Diagnostic Group Inc's NPI number?

The NPI number for Integrative Diagnostic Group Inc is 1104373745. It was assigned to this organization in the NPPES registry on September 1, 2016.

Where is Integrative Diagnostic Group Inc located?

Integrative Diagnostic Group Inc is located at 12231 Artesia Blvd, Cerritos, CA 90703. The listed phone number is (562) 653-0180.

What is Integrative Diagnostic Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Integrative Diagnostic Group Inc was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.