Provider Demographics
NPI:1417757725
Name:HEALTH INTEGRATED, INC.
Entity type:Organization
Organization Name:HEALTH INTEGRATED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DWAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LVN, BA, CNA
Authorized Official - Phone:714-278-7622
Mailing Address - Street 1:PO BOX 213093
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91921-3093
Mailing Address - Country:US
Mailing Address - Phone:888-417-5163
Mailing Address - Fax:888-316-1604
Practice Address - Street 1:325 E 111TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90061-3003
Practice Address - Country:US
Practice Address - Phone:888-417-5163
Practice Address - Fax:888-316-1604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No251S00000XAgenciesCommunity/Behavioral Health