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Organization
IMPERIAL FAMILY MEDICAL GROUP, A PROFESSIONAL CORP
Active
Organization
IMPERIAL FAMILY MEDICAL GROUP, A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HSU (VICE PRESIDENT/SECRETARY)
(562) 861-3111
Entity
Organization
Contact information
Practice address
12651 LAKEWOOD BLVD, DOWNEY, CA 90242-4563
(562) 861-3111
(562) 861-9721
Mailing address
12651 LAKEWOOD BLVD, DOWNEY, CA 90242-4563
(562) 861-3111
(562) 861-9721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/13/2006
Last updated
03/20/2023
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