Organization
IMPERIAL MEDICAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BROCKETT (CHIEF OPERATING OFFICER)
(949) 250-4500
Entity
Organization
Contact information
Practice address
17451 BASTANCHURY RD, SUITE 103, YORBA LINDA, CA 92886-1857
(714) 961-9300
(714) 961-9301
Mailing address
3 UPPER NEWPORT PLZ, SECOND FLOOR, NEWPORT BEACH, CA 92660-2630
(949) 250-4500
(949) 250-4501
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
04/05/2006
Last updated
09/11/2025
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