Organization · Type 2 NPI
Executive Intergrated Medical Group, Inc.
Addiction Psychiatry Physician · Long Beach, CA
NPI number
1326575812
Active
Practice location
3605 Long Beach Blvd Ste 304
Long Beach, CA 90807-6018
Fax (310) 559-5466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | None listed |
| Addiction Psychiatry Physician Primary | 2084P0802X | A109162 (CA) |
| Geriatric Psychiatry Physician | 2084P0805X | A109162 (CA) |
Addiction Psychiatry Physician: 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.
3 other providers at this address
About NPI 1326575812
Executive Intergrated Medical Group, Inc.'s National Provider Identifier is 1326575812, issued on May 16, 2017. The primary taxonomy on file is Addiction Psychiatry Physician (2084P0802X), and the practice location is in Long Beach, CA. The record was last updated on Jul 21, 2022.