# IMPERIAL MEDICAL IMAGING

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

## Provider details

- **NPI number:** 1538121405
- **Authorized official:** LISA BROCKETT (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (949) 250-4500

## Contact information

- **Practice address:** 17451 BASTANCHURY RD, SUITE 103, YORBA LINDA, CA 92886-1857
- **Practice address phone:** (714) 961-9300
- **Practice address fax:** (714) 961-9301
- **Mailing address:** 3 UPPER NEWPORT PLZ, SECOND FLOOR, NEWPORT BEACH, CA 92660-2630
- **Mailing address phone:** (949) 250-4500
- **Mailing address fax:** (949) 250-4501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 09/11/2025