Organization
IMPERIAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN K O'CONNOR M.D. (PRESIDENT)
(818) 484-3272
Entity
Organization
Contact information
Practice address
1414 S GRAND AVE, STE 101, LOS ANGELES, CA 90015-3067
(818) 484-3272
(818) 647-0402
Mailing address
5632 VAN NUYS BLVD, STE 345, VAN NUYS, CA 91401-4602
(818) 484-3272
(818) 647-0402
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A89546
CA
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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