Integral Medical Group, Inc.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A061830 Issued in CA

Legal business name

INTEGRAL MEDICAL GROUP, INC.

Practice address

4225 Executive SQ Ste 355
La Jolla, CA 92037-1483

Phone

(858) 729-0305

Fax

(858) 729-0232

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Zhanna Verkh, M.D.NPI 1073652368

Title

Medical Director

Phone

(858) 729-0305

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Zhanna Verkh, M.D.

  • Child & Adolescent Psychiatry Physician
  • La Jolla, CA
  • NPI 1073652368
  NPD (past) Authorized official

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1962683755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 EXECUTIVE SQ STE 355",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371483",
            "telephone_number": "858-729-0305",
            "fax_number": "858-729-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 EXECUTIVE SQ STE 355",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371483",
            "telephone_number": "858-729-0305",
            "fax_number": "858-729-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "VERKH",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-729-0305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A061830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Nataly Inda
• Indigo and Ease Acupuncture and Integrative Health Incorporated
• Jacqueline Owen Inge
• Hannah Marie Ingersoll, MSW
• Henry G. Ingersoll, M.D.
• Integrative Cardiovascular Center of la Jolla
• International Center for Behavioral Health
• Jillian Inumerable, ATC
• Rama Inza, LMT
• Irene Nosrati, DDS, and Erez Nosrati, DMD, Inc.

• Child & Adolescent Psychiatry Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.