Integrated Advanced Medicine Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INTEGRATED ADVANCED MEDICINE INC

Practice address

210 S Grand Ave Ste 408
Glendora, CA 91741-4282

Phone

(626) 335-4466

Fax

(626) 335-4476

NPI assigned

May 19, 2020

Last updated

May 19, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fadi George Al-Selhi, DC

Title

Owner

Phone

(626) 210-8333

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1568085041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE STE 408",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414282",
            "telephone_number": "626-335-4466",
            "fax_number": "626-335-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE STE 408",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414282",
            "telephone_number": "626-335-4466",
            "fax_number": "626-335-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED ADVANCED MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "AL-SELHI",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-210-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.