Mike Imberman D M D Inc a Professional Corporation

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

32324 Issued in CA

Legal business name

MIKE IMBERMAN D M D INC A PROFESSIONAL CORPORATION

Practice address

18425 Burbank Blvd
Ste 709
Tarzana, CA 91356-2806

Phone

(818) 345-5300

Fax

(818) 345-3863

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Michael Imberman, DMD

Title

DMD, President

Phone

(818) 345-5300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1386920874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "STE 709",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-345-5300",
            "fax_number": "818-345-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "STE 709",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-345-5300",
            "fax_number": "818-345-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE IMBERMAN D M D INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "IMBERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DMD, PRESIDENT",
        "authorized_official_telephone_number": "818-345-5300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "32324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael H. Burnam, M.D. a Medical Corp
• Michael Hirt MD PC
• Michael Madievsky,M.D.
• Michael S. Malamed, M.D., a Medical Corporation
• Susan Tracey Migdalski
• Georges Mikhael, PHARM.D.
• Maged S. Mikhail, M.D.
• Mokhtar Mikhail, M.D.
• Paul Milberg, MD
• Honey Milestone, M.D.

• Periodontics in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.