| Robert Imani, M.d. | |
|
1505 W Avenue J 103 Lancaster CA 93534-2843 | |
| (818) 571-5576 | |
| Not Available |
| Full Name | Robert Imani, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1505 W Avenue J, Lancaster, California |
| Authorized Official Name and Position | Robert Babak Imani (PHYSICIAN) |
| Authorized Official Contact | 8185715576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Imani, M.d. 1505 W Avenue J 103 Lancaster CA 93534-2843 Ph: (818) 571-5576 | Robert Imani, M.d. 1505 W Avenue J 103 Lancaster CA 93534-2843 Ph: (818) 571-5576 |
| NPI Number | 1497087290 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 05/27/2010 |
| Medicare PECOS PAC ID | 2860527470 |
|---|---|
| Medicare Enrollment ID | O20100322000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497087290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert B Imani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639374747 PECOS PAC ID: 2860539004 Enrollment ID: I20091021000268 |
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