IMPERIAL MEDICAL MANAGEMENR, INC. (NPI# 1083731798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083731798 |
Entity Type | Organization |
Organization Name | IMPERIAL MEDICAL MANAGEMENR, INC. |
Practice Address |
27297 Lindell Rd Lake Elsinore CA 92532-7341 |
Mailing Address |
18285 Collier Avenue Suite 201 Lake Elsinore CA 92530 |
Practice Telephone | 9516742424 |
Practice Fax Number | 9516745656 |
Mailing Telephone | 9516742424 |
Mailing Fax Number | 9516745656 |
Enumeration Date | 2007-03-26 |
Last Update Date | 2008-08-26 |
Authorized Official Name | MR. STANLEY IRENEUSZ SZYMCZYK (PRESIDENT) |
Authorized Official Telephone | 9516742424 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Street Address |
27297 LINDELL RD |
City | LAKE ELSINORE |
State | CA |
Zip Code | 92532-7341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649817842 | The Social Work Action Group | Family Medicine | 28497 California 74 Suite 113, Lake Elsinore, CA 92532 | 2019-12-06 |
1720477235 | Skyler Jeffrey Liatti | Dentist | 29273 Central Ave Ste A, Lake Elsinore, CA 92532 | 2015-01-21 |
1386068310 | Michael D Boucher | Physician Assistant | 29997 Canyon Hills Rd Ste 1604, Lake Elsinore, CA 92532 | 2014-02-11 |
1902083595 | Joong Gu Han | Acupuncturist | 53116 Tropical Street, Lake Elsinore, CA 92532 | 2008-01-25 |
1063632123 | Taba Apostu & Apostu Professional Dental Corp | Dentist | 361 Railroad Canyon Rd, #a, Lake Elsinore, CA 92532 | 2007-04-30 |
1164584793 | Stephen Gerard Schroeder | Optometrist | 25321 Railroad Canyon Dr., #503, Lake Elsinore, CA 92532 | 2006-12-13 |
1194821041 | Derek B. Hauser | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2006-09-16 |
1912017567 | Costco Wholesale Corporation | Pharmacy | 29315 Central Ave, Lake Elsinore, CA 92532 | 2006-08-30 |
1952331217 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 29985 Canyon Hills Road, Lake Elsinore, CA 92532 | 2006-07-03 |
1467709642 | Matthew Randall Kanter | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2012-08-07 |
Find all providers in zip 92532 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508246133 | Revolution Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 571 Crane St, Unit H, Lake Elsinore, CA 92530-2742 | 2015-06-09 |
1326451857 | Annjonette Williams | Durable Medical Equipment & Medical Supplies | 311 W Minthorn St, Suite 7, Lake Elsinore, CA 92530-2800 | 2014-06-02 |
1285921635 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 160 Diamond Dr, Lake Elsinore, CA 92530-4401 | 2011-07-06 |
1013233667 | Delta Drugs II, Inc. | Durable Medical Equipment & Medical Supplies | 2497 E Lakeshore Dr Ste B, Lake Elsinore, CA 92530-4437 | 2010-04-07 |
1851528210 | Abc Home Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 33105 Va Oeste, Lake Elsinore, CA 92530-1454 | 2009-06-12 |
1457537672 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 16491 Lakeshore Drive, Lake Elsinore, CA 92530-6723 | 2008-01-17 |
1396854741 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 32261 Mission Trail, Lake Elsinore Town Center, Lake Elsinore, CA 92530-4577 | 2006-08-30 |
1568570794 | Medical Supply Superstore Inc | Durable Medical Equipment & Medical Supplies | 32245 Mission Trail Rd, D10, Lake Elsinore, CA 92530-4528 | 2006-08-28 |
1346254257 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 18296 Collier Ave, Lake Elsinore, CA 92530-2754 | 2006-07-28 |
1952331217 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 29985 Canyon Hills Road, Lake Elsinore, CA 92532 | 2006-07-03 |
Find all providers in LAKE ELSINORE |
City | LAKE ELSINORE |
Zip Code | 92532 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.