Organization · Type 2 NPI
Integral Medical Group, Inc.
Child & Adolescent Psychiatry Physician · La Jolla, CA
NPI number
1962683755
Active
Practice location
4225 Executive Sq Ste 355
La Jolla, CA 92037-1483
Fax (858) 729-0232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | A061830 (CA) |
Child & Adolescent Psychiatry Physician: 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.
Another provider at this address
About NPI 1962683755
Integral Medical Group, Inc.'s National Provider Identifier is 1962683755, issued on Nov 20, 2007. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in La Jolla, CA. The record was last updated on Jul 28, 2011.