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Organization

IMPERIAL HEALTH HOLDINGS, A PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAN NHU BICH PHAN MPH (ADMISTRATOR)
(818) 399-8996
Entity
Organization

Contact information

Practice address
2295 HUNTINGTON DR # D, SAN MARINO, CA 91108-2640
(626) 656-2370
(626) 248-9060
Mailing address
2295 HUNTINGTON DR # D, SAN MARINO, CA 91108-2640
(626) 656-2370
(626) 248-9060

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
02/03/2014
Last updated
02/03/2014
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