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

Integrated Medical Group Inc

Organization Primary Care Nurse Practitioner · NPI 1871931741

Integrated Medical Group Inc is a Primary Care Nurse Practitioner in Carson, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
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

208 E Carson St Ste 101
Carson, CA 90745-2762
Phone: (818) 224-9390
Fax: (818) 938-1538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence C3565047 (CA)

Record details

NPI number1871931741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Simbulan — Ceo · (818) 224-9390
NPI enumeratedJune 12, 2013
Last updated in NPPESJune 19, 2016
Mailing address8622 Reseda Blvd Ste 200, Northridge, CA 91324-4091

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