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EXECUTIVE INTERGRATED MEDICAL GROUP, INC.
NPI 1326575812
Psychiatry & Neurology - Addiction Psychiatry in Long Beach, CA

Active since May 16, 2017
3605 LONG BEACH BLVD STE 304, LONG BEACH, CA 90807(310) 559-5916(310) 559-5466 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 21, 2021, Oct 25, 2017 and 1 more (4 updates tracked since 2017).

About Executive Intergrated Medical Group, Inc. NPPES

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

EXECUTIVE INTERGRATED MEDICAL GROUP, INC. (NPI 1326575812) is a healthcare organization registered as an addiction psychiatry in Long Beach, California and active in the NPI registry since May 2017. The organization lists Kamal Bijanpour, President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1326575812
Entity TypeOrganization
Primary Taxonomy2084P0802X
Legal Business NameEXECUTIVE INTERGRATED MEDICAL GROUP, INC.
Location Address3605 LONG BEACH BLVD STE 304Long Beach, CA 90807-6018
Mailing Address3605 Long Beach Blvd Ste 304Long Beach, CA 90807-6018 · (310) 559-5916 · Fax (310) 559-5466
Phone(310) 559-5916
Fax(310) 559-5466
Organization SubpartNo
Authorized OfficialKamal BijanpourPresident / Ceo · (310) 559-5916
Enumeration DateMay 16, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
✔ NPI 1326575812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in CA · A109162
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License A109162 (CA)
3605 LONG BEACH BLVD STE 304, Long Beach, CA 90807
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAMALBIJANPOUR INC
Psychiatry & Neurology (Psychiatry)
3605 LONG BEACH BLVD STE 304
LONG BEACH, CA 90807
Los Angeles County (310) 559-5916
KAMAL BIJANPOUR M.D.
Psychiatry & Neurology (Psychiatry)
3605 LONG BEACH BLVD STE 304
LONG BEACH, CA 90807
Los Angeles County (310) 559-5916
KAMAL BIJANPOUR INC
Psychiatric Hospital
3605 LONG BEACH BLVD STE 304
LONG BEACH, CA 90807
Los Angeles County (310) 559-5916

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 Executive Intergrated Medical Group, Inc.'s NPI number?

The NPI number for Executive Intergrated Medical Group, Inc. is 1326575812. It was assigned to this organization in the NPPES registry on May 16, 2017.

Where is Executive Intergrated Medical Group, Inc. located?

Executive Intergrated Medical Group, Inc. is located at 3605 Long Beach Blvd Ste 304, Long Beach, CA 90807. The listed phone number is (310) 559-5916.

What is Executive Intergrated Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

When was this NPI record last updated?

The NPPES record for Executive Intergrated Medical Group, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.