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Individual

DR. CHARLES E. IMBUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
665 W NAOMI AVE, SUITE 202, ARCADIA, CA 91007-7563
(626) 445-6275
(626) 445-3583
Mailing address
665 W NAOMI AVE, SUITE 202, ARCADIA, CA 91007-7563
(626) 445-6275
(626) 445-3583

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C34642
CA
202C00000X
Independent Medical Examiner Physician
C34642
CA
2080S0012X
Pediatric Sleep Medicine Physician
C34642
CA
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
C34642
CA
2084N0400X
Neurology Physician
C34642
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
C34642
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
C34642
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C346420
CA
01
756131315
MEDICARE - RR PTAN
Enumeration date
08/18/2005
Last updated
04/30/2009
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