Provider Demographics
NPI:1134987340
Name:ACCESSIBLE INTEGRATIVE MEDICINE, LLC
Entity type:Organization
Organization Name:ACCESSIBLE INTEGRATIVE MEDICINE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ-COTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-962-4278
Mailing Address - Street 1:20 COURTHOUSE SQ STE 204
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2338
Mailing Address - Country:US
Mailing Address - Phone:301-962-4278
Mailing Address - Fax:
Practice Address - Street 1:9801 GEORGIA AVE STE 339
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5276
Practice Address - Country:US
Practice Address - Phone:301-962-4278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty