Provider Demographics
NPI:1932332723
Name:IMPERIAL HEALTH INC
Entity Type:Organization
Organization Name:IMPERIAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:KABAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-484-3272
Mailing Address - Street 1:5632 VAN NUYS BLVD
Mailing Address - Street 2:SUITE 345
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-4602
Mailing Address - Country:US
Mailing Address - Phone:818-484-3272
Mailing Address - Fax:
Practice Address - Street 1:7100 HAYVENHURST AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3874
Practice Address - Country:US
Practice Address - Phone:818-484-3272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG62318204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty