Provider Demographics
NPI:1437892551
Name:INTEGRAL COMPANIES, LLC
Entity Type:Organization
Organization Name:INTEGRAL COMPANIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-286-8420
Mailing Address - Street 1:29991 CANYON HILLS RD # 1709-344
Mailing Address - Street 2:
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92532-2578
Mailing Address - Country:US
Mailing Address - Phone:855-841-3900
Mailing Address - Fax:855-401-8835
Practice Address - Street 1:34232 AURORA CT
Practice Address - Street 2:
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92532-2583
Practice Address - Country:US
Practice Address - Phone:855-841-3900
Practice Address - Fax:855-401-8835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-16
Last Update Date:2022-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty