| Imperial Family Medical Group, A Professional Corp | |
|
12651 Lakewood Blvd Downey CA 90242-4563 | |
| (562) 861-3111 | |
| (562) 861-9721 |
| Full Name | Imperial Family Medical Group, A Professional Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 12651 Lakewood Blvd, Downey, California |
| Authorized Official Name and Position | Diana Hsu (VICE PRESIDENT/SECRETARY) |
| Authorized Official Contact | 5628613111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Family Medical Group, A Professional Corp 12651 Lakewood Blvd Downey CA 90242-4563 Ph: (562) 861-3111 | Imperial Family Medical Group, A Professional Corp 12651 Lakewood Blvd Downey CA 90242-4563 Ph: (562) 861-3111 |
| NPI Number | 1366454639 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 03/20/2023 |
| Medicare PECOS PAC ID | 7214129642 |
|---|---|
| Medicare Enrollment ID | O20101006001172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366454639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Diana D Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720090137 PECOS PAC ID: 2961694393 Enrollment ID: I20101018000807 |
| Provider Name | Goethe Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386656726 PECOS PAC ID: 4789876111 Enrollment ID: I20101018000845 |
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