Active NPI
Imperial Medical Managemenr, Inc.
- Durable Medical Equipment & Medical Supplies
- Lake Elsinore, CA
National Provider Identifier
1083731798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.