Provider Demographics
NPI:1043225725
Name:INTEGRATIVE HEALTH INTERNATIONAL, LLC
Entity Type:Organization
Organization Name:INTEGRATIVE HEALTH INTERNATIONAL, LLC
Other - Org Name:MOREAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INDUSTRIAL TOXICOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HILDEGARDE
Authorized Official - Middle Name:
Authorized Official - Last Name:STANINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RIET-1
Authorized Official - Phone:562-402-7300
Mailing Address - Street 1:12235 CENTRALIA ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90715-1646
Mailing Address - Country:US
Mailing Address - Phone:562-402-7300
Mailing Address - Fax:562-402-7308
Practice Address - Street 1:12235 CENTRALIA ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90715-1646
Practice Address - Country:US
Practice Address - Phone:562-402-7300
Practice Address - Fax:562-402-7308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFIT002MPSCAOtherFAR INFRARED THERAPY