Integrated Rehabilitation Medical Corp

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTEGRATED REHABILITATION MEDICAL CORP

Practice address

819 Auto Center Drive
Palmdale, CA 93551

Phone

(661) 267-6876

Fax

(661) 538-9438

NPI assigned

Oct 23, 2006

Last updated

Nov 7, 2007By 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

Mr. Lance Jackson, DC

Title

Ceo

Phone

(661) 267-6876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1912080953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 AUTO CENTER DRIVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-267-6876",
            "fax_number": "661-538-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 AUTO CENTER DRIVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-267-6876",
            "fax_number": "661-538-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED REHABILITATION MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-267-6876",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inpamani S Arul MD Inc
• Inpatient Services of California Inc
• Instacare Homehealth LLC
• Institute for Family Centered Services Inc. (Ca Mentor)
• Institute of Neurological Surgery
• Interdisciplanary Pain Management
• Richard Alan Iosue, O.D.
• Ivan Banner Boarding Care
• Ivy Elite Care LLC
• J. Yang Chiropractic Corp (Atlas Health Clinic-Palmdale)

• Specialist in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.