INTEGRATED MEDICAL GROUP INC
NPI 1871931741
Nurse Practitioner - Primary Care in Carson, CA

Q: What is Integrated Medical Group Inc's NPI number?

The NPI number for Integrated Medical Group Inc is 1871931741. It was assigned to this organization in the NPPES registry on June 12, 2013.

Q: What is Integrated Medical Group Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since June 12, 2013

208 E CARSON ST STE 101, CARSON, CA 90745(818) 224-9390(818) 938-1538 Get Directions Write a Review

NPPES record last updated: June 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Integrated Medical Group Inc NPPES

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

INTEGRATED MEDICAL GROUP INC (NPI 1871931741) is a healthcare organization registered as a primary care in Carson, California and active in the NPI registry since June 2013. The organization lists Charles Simbulan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871931741

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameINTEGRATED MEDICAL GROUP INC

Location Address208 E CARSON ST STE 101Carson, CA 90745-2762

Mailing Address8622 Reseda Blvd Ste 200Northridge, CA 91324-4091 · (818) 224-9390 · Fax (818) 938-1538

Phone(818) 224-9390

Fax(818) 938-1538

Organization SubpartNo

Authorized OfficialCharles SimbulanCeo · (818) 224-9390

Enumeration DateJune 12, 2013

Last NPPES UpdateJune 19, 2016

✔ NPI 1871931741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · C3565047

208 E CARSON ST STE 101, Carson, CA 90745

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Integrated Medical Group Inc's NPI number?

The NPI number for Integrated Medical Group Inc is 1871931741. It was assigned to this organization in the NPPES registry on June 12, 2013.

Where is Integrated Medical Group Inc located?

Integrated Medical Group Inc is located at 208 E Carson St Ste 101, Carson, CA 90745. The listed phone number is (818) 224-9390.

What is Integrated Medical Group Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Integrated Medical Group Inc was last updated on June 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.