NPIMap

Organization Active NPI

Imperial Clinic

  • Chiropractor
  • La Habra, CA
National Provider Identifier
1689202541
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IMPERIAL CLINIC
Practice address
1201 S Beach Blvd Ste 107
La Habra, CA 90631-6366
Phone
(562) 902-1223
NPI assigned
Mar 27, 2020
Organization subpart
Yes
Parent organization
IMPERIAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Ki ParkNPI 1437296928
Title
Owner
Phone
(562) 902-1223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1201 S Beach Blvd Ste 107
La Habra, CA 90631-6366

Mailing address

1201 S Beach Blvd Ste 107
La Habra, CA 90631-6366
Phone (562) 902-1223

Other practice location 1

14785 Jeffrey Rd Ste 210
Irvine, CA 92618-0420
Phone (562) 902-1223

National Provider Directory

National Provider Directory
Part of
Imperial Clinic

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1689202541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S BEACH BLVD STE 107",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316366",
            "telephone_number": "562-902-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S BEACH BLVD STE 107",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316366",
            "telephone_number": "562-902-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14785 Jeffrey Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926180420",
            "country_code": "US",
            "telephone_number": "562-902-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPERIAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMPERIAL CLINIC",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-902-1223"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.