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General NPI Number Information
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NPI Number | 1336078351
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Entity Type | Organization
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Legal Business Name | FMI INTEGRATIVE BEHAVIORAL HEALTH & LONGEVITY MEDICINE
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 5757 W CENTURY BLVD FL 6
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City | LOS ANGELES
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State | CA
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Zip | 90045-6401
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Country | US
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Telephone | 310-908-0979
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Fax |
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Provider Business Mailing Address
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Address Line | 27305 LIVE OAK RD STE A
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City | CASTAIC
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State | CA
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Zip | 91384-4520
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KIMBERLY G GALINDO
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Credential |
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Telephone | 310-908-0979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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