INTEGRAL MEDICAL GROUP, INC.
NPI 1962683755
Psychiatry & Neurology - Child & Adolescent Psychiatry in La Jolla, CA

Active since November 20, 2007
4225 EXECUTIVE SQ STE 355, LA JOLLA, CA 92037(858) 729-0305(858) 729-0232 Get Directions Write a Review

NPPES record last updated: July 28, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Integral Medical Group, Inc. NPPES

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

INTEGRAL MEDICAL GROUP, INC. (NPI 1962683755) is a healthcare organization registered as a child & adolescent psychiatry in La Jolla, California and active in the NPI registry since November 2007. The organization lists Zhanna Verkh, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1962683755
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameINTEGRAL MEDICAL GROUP, INC.
Location Address4225 EXECUTIVE SQ STE 355La Jolla, CA 92037-1483
Mailing Address4225 Executive Sq Ste 355La Jolla, CA 92037-1483 · (858) 729-0305 · Fax (858) 729-0232
Fax(858) 729-0232
Organization SubpartNo
Authorized OfficialZhanna VerkhMedical Director · (858) 729-0305
Enumeration DateNovember 20, 2007
Last NPPES UpdateJuly 28, 2011
NPI 1962683755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in CA · A061830
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

4225 EXECUTIVE SQ STE 355, La Jolla, CA 92037

Group Practice 1

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

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
4225 EXECUTIVE SQ STE 355
LA JOLLA, CA 92037

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962683755, enumerated as an "organization" on November 20, 2007.

The provider is located at 4225 EXECUTIVE SQ STE 355 LA JOLLA, CA 92037 and the phone number is (858) 729-0305.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.