Organization
IMPERIAL PARK, INC
Active
Other names
Imperial Park, Inc, West Park
Organization subpart
No
Provider details
NPI number
Authorized official
ANA MARIA CANDELAS (AR SYSTEMS MANAGER)
(949) 740-3454
Entity
Organization
Contact information
Practice address
3323 E IMPERIAL HWY, LYNWOOD, CA 90262-3305
(310) 638-6691
Mailing address
3323 E IMPERIAL HWY, LYNWOOD, CA 90262-3305
(310) 631-6122
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
960001047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80240F
—
CA
Enumeration date
02/07/2007
Last updated
10/20/2025
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