Provider Demographics
NPI:1982025839
Name:IM-FSR INC
Entity Type:Organization
Organization Name:IM-FSR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALHAYYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-492-5446
Mailing Address - Street 1:12878 RIMROCK AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-1001
Mailing Address - Country:US
Mailing Address - Phone:888-492-5446
Mailing Address - Fax:714-462-9119
Practice Address - Street 1:12878 RIMROCK AVE
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-1001
Practice Address - Country:US
Practice Address - Phone:888-492-5446
Practice Address - Fax:714-462-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty