Integrative Medicine Associates, PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

A35411 Issued in CA

Legal business name

INTEGRATIVE MEDICINE ASSOCIATES, PC

Practice address

2850 6TH Ave Ste 412
San Diego, CA 92103-6315

Phone

(619) 422-2555

Fax

(619) 422-2223

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Mark Milgram, MDNPI 1285737569

Title

Owner

Phone

(619) 422-2555

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Mark Milgram, M.D.

  • Public Health & General Preventive Medicine Physician
  • La Jolla, CA
  • NPI 1285737569
  NPD (past) Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750434403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 6TH AVE STE 412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036315",
            "telephone_number": "619-422-2555",
            "fax_number": "619-422-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 6TH AVE STE 412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036315",
            "telephone_number": "619-422-2555",
            "fax_number": "619-422-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILGRAM",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-422-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A35411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in San Diego, CA
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.