Organization
CHARLES E. IMBUS, MD, INC
Active
Organization
CHARLES E. IMBUS, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES EUGENE IMBUS MD (PHYSICIAN & PRESIDENT)
(626) 445-6275
Entity
Organization
Contact information
Practice address
665 W NAOMI AVE STE 202, ARCADIA, CA 91007-7563
(626) 445-6275
(626) 445-3583
Mailing address
665 W NAOMI AVE STE 202, ARCADIA, CA 91007-7563
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C346420
—
CA
01
—
1912999764
INDIVIDUAL NPI
—
Enumeration date
03/09/2012
Last updated
03/09/2012
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