Provider Demographics
NPI:1982579249
Name:ELIZABETH C IMPERIAL MD PC
Entity type:Organization
Organization Name:ELIZABETH C IMPERIAL MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:CABANA
Authorized Official - Last Name:IMPERIAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-983-0933
Mailing Address - Street 1:705 N OXNARD BLVD UNIT 106
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-4314
Mailing Address - Country:US
Mailing Address - Phone:805-983-0933
Mailing Address - Fax:
Practice Address - Street 1:705 N OXNARD BLVD UNIT 106
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-4314
Practice Address - Country:US
Practice Address - Phone:805-983-0933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty