Imperial Health Holdings, a Professional Medical Corporation

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

IMPERIAL HEALTH HOLDINGS, A PROFESSIONAL MEDICAL CORPORATION

Practice address

2295 Huntington Dr # D
San Marino, CA 91108-2640

Phone

(626) 656-2370

Fax

(626) 248-9060

NPI assigned

Feb 3, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Lan Nhu Bich Phan, MPH

Title

Admistrator

Phone

(818) 399-8996

Specialties & licenses 1

Addresses

Tax ID family

Imperial Health Holdings a Professional Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Imperial Health Holdings, a Professional Medical Corporation

  dba Imperial Health Holdings Medical Group

  • Health Maintenance Organization
  • Pasadena, CA
  • NPI 1316498447
  NPD tax ID

Locations

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1124441696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 HUNTINGTON DR # D",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082640",
            "telephone_number": "626-656-2370",
            "fax_number": "626-248-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 HUNTINGTON DR # D",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082640",
            "telephone_number": "626-656-2370",
            "fax_number": "626-248-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL HEALTH HOLDINGS, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LAN",
        "authorized_official_middle_name": "NHU BICH",
        "authorized_official_title_or_position": "ADMISTRATOR",
        "authorized_official_telephone_number": "818-399-8996",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Huang, D.O.
• Ya-Gin Hanna Huang, MD
• Mei Huei Hung, ACUPUNCUTRIST
• I and S Hospice Care Inc
• Ibody, Inc.
• Sandra Anne Ioele, CHIROPRACTOR
• Jeffrey Pan MD LLC
• Christine Jeng, PHARMD
• Jessica Choi, DMD, Dental Corporation (San Marino pediatric dentistry)
• Jieyi Jin

• Exclusive Provider Organization in San Marino, CA
• Providers in San Marino, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.