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Organization
IMPERIAL CLINIC
Active
Organization
IMPERIAL CLINIC
Active
Parent organization
IMPERIAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMPERIAL CLINIC
Authorized official
KI PARK (OWNER)
(562) 902-1223
Entity
Organization
Contact information
Practice address
1201 S BEACH BLVD STE 107, LA HABRA, CA 90631-6366
(562) 902-1223
Mailing address
1201 S BEACH BLVD STE 107, LA HABRA, CA 90631-6366
(562) 902-1223
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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