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

Integrative Diagnostic Group Inc

Organization Adult Medicine Physician · NPI 1104373745

Integrative Diagnostic Group Inc is an Adult Medicine Physician in Cerritos, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2
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

12231 Artesia Blvd
Cerritos, CA 90703-2750
Phone: (562) 653-0180
Fax: (562) 402-3029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence A30411 (CA)
Psychiatric Residential Treatment Facility Taxonomy 323P00000X · Licence PSY6247 (CA)

Record details

NPI number1104373745
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntegrative Diagnostic Group Inc
Authorized official Anil Ganghi — President · (562) 653-0180
Other names Integrative Diagnostic Group Inc
NPI enumeratedSeptember 1, 2016
Last updated in NPPESSeptember 1, 2016
Mailing address1231 Artesia Blvd, Cerritos, CA 90703-2750

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