Organization
IMPERIAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD B KABAN M.D. (PRESIDENT)
(828) 484-3272
Entity
Organization
Contact information
Practice address
7100 HAYVENHURST AVE, SUITE 110, VAN NUYS, CA 91406-3874
(818) 484-3272
Mailing address
5632 VAN NUYS BLVD, SUITE 345, VAN NUYS, CA 91401-4602
(818) 484-3272
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
G62318
CA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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