Healthcare Provider Details

I. General information

NPI: 1346162369
Provider Name (Legal Business Name): INTECORE MANAGEMENT GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26700 TOWNE CENTRE DR STE 120
FOOTHILL RANCH CA
92610-2843
US

IV. Provider business mailing address

3132 S BENTLEY AVE
LOS ANGELES CA
90034-3008
US

V. Phone/Fax

Practice location:
  • Phone: 973-945-9257
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELISSA YANG
Title or Position: CEO
Credential:
Phone: 973-945-9257