Provider Demographics
NPI:1023783735
Name:IMPERIAL, YLAMHER CLAIRE BUFI
Entity type:Individual
Prefix:
First Name:YLAMHER CLAIRE
Middle Name:BUFI
Last Name:IMPERIAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2838 N HANALEI AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93737-0020
Mailing Address - Country:US
Mailing Address - Phone:559-392-5455
Mailing Address - Fax:
Practice Address - Street 1:2838 N HANALEI AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93737-0020
Practice Address - Country:US
Practice Address - Phone:559-392-5455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEINOtherIRS