| Executive Intergrated Medical Group, Inc. | |
|
3605 Long Beach Blvd Ste 304 Long Beach CA 90807-6018 | |
| (310) 559-5916 | |
| (310) 559-5466 |
| Full Name | Executive Intergrated Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 3605 Long Beach Blvd Ste 304, Long Beach, California |
| Authorized Official Name and Position | Kamal Bijanpour (PRESIDENT / CEO) |
| Authorized Official Contact | 3105595916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Intergrated Medical Group, Inc. 3605 Long Beach Blvd Ste 304 Long Beach CA 90807-6018 Ph: (310) 559-5916 | Executive Intergrated Medical Group, Inc. 3605 Long Beach Blvd Ste 304 Long Beach CA 90807-6018 Ph: (310) 559-5916 |
| NPI Number | 1326575812 |
|---|---|
| Provider Enumeration Date | 05/16/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 05/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326575812 | NPI | - | NPPES |
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