Healthcare Provider Details

I. General information

NPI: 1699339044
Provider Name (Legal Business Name): INTEGRATIVE HEALTH INSTITUTES, A NATUROPATHIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2019
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

689 W FOOTHILL BLVD STE A
CLAREMONT CA
91711-3400
US

IV. Provider business mailing address

689 W FOOTHILL BLVD STE A
CLAREMONT CA
91711-3400
US

V. Phone/Fax

Practice location:
  • Phone: 310-526-7328
  • Fax:
Mailing address:
  • Phone: 310-526-7328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TAMARA DAWN TREBILCOCK ACKERMAN
Title or Position: OWNER
Credential: ND
Phone: 310-526-7328