| Andrew Imparato Inc | |
|
12401 Washington Blvd Whittier CA 90602-1006 | |
| (562) 698-0811 | |
| Not Available |
| Full Name | Andrew Imparato Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 12401 Washington Blvd, Whittier, California |
| Authorized Official Name and Position | Andrew John Imparato (MD/PRESIDENT) |
| Authorized Official Contact | 5625569595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Imparato Inc 510 Pebble Beach Pl Fullerton CA 92835-2728 Ph: (562) 556-9595 | Andrew Imparato Inc 12401 Washington Blvd Whittier CA 90602-1006 Ph: (562) 698-0811 |
| NPI Number | 1861962516 |
|---|---|
| Provider Enumeration Date | 11/26/2018 |
| Last Update Date | 11/26/2018 |
| Medicare PECOS PAC ID | 5799022539 |
|---|---|
| Medicare Enrollment ID | O20190131002794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861962516 | NPI | - | NPPES |
| A144500 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer M Imparato |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770786469 PECOS PAC ID: 5698969889 Enrollment ID: I20101102000203 |
| Provider Name | Andrew Imparato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720400971 PECOS PAC ID: 1951680420 Enrollment ID: I20161128001933 |
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