Integrative Medical Group, Inc
NPI 1003369380ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Los Angeles, CA
Surgery, Plastic and Reconstructive Surgery in Los Angeles, California, registered in NPPES in August 2016. The authorized official on file is Ryan M. Spivak, M.D, Authorized Official.
Overview
| NPI | 1003369380 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 3, 2016 |
| Last updated in NPPES | Aug 3, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | A113632 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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