Provider Demographics
NPI:1740515121
Name:IMPERIAL CLINIC
Entity type:Organization
Organization Name:IMPERIAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWSHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-936-9700
Mailing Address - Street 1:2777 PACIFIC AVE
Mailing Address - Street 2:SUITE. B
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2625
Mailing Address - Country:US
Mailing Address - Phone:562-427-6366
Mailing Address - Fax:562-424-7344
Practice Address - Street 1:2777 PACIFIC AVE
Practice Address - Street 2:SUITE. B
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2625
Practice Address - Country:US
Practice Address - Phone:562-427-6366
Practice Address - Fax:562-424-7344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty