Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Executive Intergrated Medical Group, Inc

Organization Psychiatry Physician · NPI 1326575812

Executive Intergrated Medical Group, Inc is a Psychiatry Physician in Long Beach, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3605 Long Beach Blvd Ste 304
Long Beach, CA 90807-6018
Phone: (310) 559-5916
Fax: (310) 559-5466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Psychiatry Physician (primary) Taxonomy 2084P0802X · Licence A109162 (CA)
Psychiatry Physician Taxonomy 2084P0800X
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence A109162 (CA)

Record details

NPI number1326575812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kamal Bijanpour — President / Ceo · (310) 559-5916
NPI enumeratedMay 16, 2017
Last updated in NPPESJuly 21, 2022
Certification dateMay 21, 2021
Mailing address3605 Long Beach Blvd Ste 304, Long Beach, CA 90807-6018

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