# IMPERIAL MEDICAL SUPPLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417972381
- **Authorized official:** MR. HOWARD M WEISS (CEO)
- **Authorized official phone:** (800) 700-9565

## Contact information

- **Practice address:** 16666 E JOHNSON DR, SUITE \# C, CITY OF INDUSTRY, CA 91745-2412
- **Practice address phone:** (800) 700-9565
- **Practice address fax:** (800) 450-3718
- **Mailing address:** 16666 EAST JOHNSON DR, SUITE \# C, CITY OF INDUSTRY, CA 91745-2412
- **Mailing address phone:** (800) 700-9565
- **Mailing address fax:** (800) 450-3718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 101028 | CA | Yes |
| 332BC3200X | Customized Equipment (DME) | 101028 | CA | — |
| 332BN1400X | Nursing Facility Supplies (DME) | 101028 | CA | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 101028 | CA | — |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 09/24/2008