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

Porter Ranch Integrative Medical Clinic, a Professional Corporation

Organization Counselor · NPI 1043642358

Porter Ranch Integrative Medical Clinic, a Professional Corporation is a Counselor in Porter Ranch, California. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
8

Practice location Address checks out

11177 Tampa Ave Ste A
Porter Ranch, CA 91326-2254
Phone: (818) 831-8000
Fax: (818) 831-8005
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Counselor Taxonomy 101Y00000X
Clinical Social Worker Taxonomy 1041C0700X
Chiropractor Taxonomy 111N00000X
Registered Dietitian Taxonomy 133V00000X
Acupuncturist Taxonomy 171100000X
Internal Medicine Physician Taxonomy 207R00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1043642358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bennett Annan — General Manager · (818) 831-8000
NPI enumeratedAugust 8, 2013
Last updated in NPPESAugust 8, 2013
Mailing address11177 Tampa Ave, Ste A, Porter Ranch, CA 91326-2254

Other providers in Porter Ranch