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

Integrated Medical Group Inc

Organization Primary Care Nurse Practitioner · NPI 1871931741

Integrated Medical Group Inc provides Primary Care Nurse Practitioner services in Carson, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

208 E Carson St Ste 101
Carson, CA 90745-2762 Not confirmed with CMS for 10 years — call before visiting
Phone: (818) 224-9390
Fax: (818) 938-1538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence C3565047 (CA)

Record details

NPI number1871931741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Simbulan — Ceo · (818) 224-9390
NPI enumeratedJune 12, 2013
Last updated in NPPESJune 19, 2016
Mailing address8622 Reseda Blvd Ste 200, Northridge, CA 91324-4091

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