Organization Active NPI

Imperial Medical Managemenr, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lake Elsinore, CA
National Provider Identifier
1083731798
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
IMPERIAL MEDICAL MANAGEMENR, INC.
Practice address
27297 Lindell Rd
Lake Elsinore, CA 92532-7341
Phone
(951) 674-2424
Fax
(951) 674-5656
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Stanley Ireneusz Szymczyk
Title
President
Phone
(951) 674-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

27297 Lindell Rd
Lake Elsinore, CA 92532-7341

Mailing address

18285 Collier Avenue
Suite 201
Lake Elsinore, CA 92530
Phone (951) 674-2424

National Provider Directory

National Provider Directory

Locations

18285 Collier Ave
Ste 201
Lake Elsinore, CA 92530

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1083731798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18285 COLLIER AVENUE",
            "address_2": "SUITE 201",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92530",
            "telephone_number": "951-674-2424",
            "fax_number": "951-674-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27297 LINDELL RD",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925327341",
            "telephone_number": "951-674-2424",
            "fax_number": "951-674-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL MEDICAL MANAGEMENR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "SZYMCZYK",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "IRENEUSZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-674-2424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.