Provider Demographics
NPI:1861986572
Name:ACCESSIBLE INTEGRATIVE MEDICINE, LLC
Entity type:Organization
Organization Name:ACCESSIBLE INTEGRATIVE MEDICINE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ COTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-962-4278
Mailing Address - Street 1:20 COURTHOUSE SQ STE 204
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2338
Mailing Address - Country:US
Mailing Address - Phone:301-962-4278
Mailing Address - Fax:833-781-1112
Practice Address - Street 1:20 COURTHOUSE SQ STE 204
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2338
Practice Address - Country:US
Practice Address - Phone:301-962-4278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-16
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0075394207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty