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

Integrative Medical Group, Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1003369380

Integrative Medical Group, Inc is a Plastic and Reconstructive Surgery Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
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

2200 W 3rd St Ste 120 A
Los Angeles, CA 90057-1932
Phone: (310) 905-3331
Fax: (310) 453-2916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence A113632 (CA)

Record details

NPI number1003369380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Spivak — Authorized Official · (310) 905-3331
NPI enumeratedAugust 3, 2016
Last updated in NPPESAugust 3, 2016
Mailing address2200 W 3rd St, Suite 120 A, Los Angeles, CA 90057-1932

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