Provider Demographics
NPI:1518790260
Name:KP INTEGRATIVE PSYCHIATRY AND WELLNESS INC
Entity type:Organization
Organization Name:KP INTEGRATIVE PSYCHIATRY AND WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VALEH
Authorized Official - Middle Name:KARIMKHANI
Authorized Official - Last Name:PITRE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:714-656-8296
Mailing Address - Street 1:777 CORPORATE DR STE 150
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-2136
Mailing Address - Country:US
Mailing Address - Phone:949-515-7300
Mailing Address - Fax:
Practice Address - Street 1:777 CORPORATE DR STE 150
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-2136
Practice Address - Country:US
Practice Address - Phone:949-515-7300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Multi-Specialty