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Organization
ANDREW IMPARATO INC
Active
Organization
ANDREW IMPARATO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JOHN IMPARATO M.D. (MD/PRESIDENT)
(562) 556-9595
Entity
Organization
Contact information
Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
Mailing address
510 PEBBLE BEACH PL, FULLERTON, CA 92835-2728
(562) 556-9595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A144500
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
11/26/2018
Last updated
11/26/2018
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