Provider Demographics
NPI:1316498447
Name:IMPERIAL HEALTH HOLDINGS, A PROFESSIONAL MEDICAL CORPORATION
Entity type:Organization
Organization Name:IMPERIAL HEALTH HOLDINGS, A PROFESSIONAL MEDICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PAVELJIT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BINDRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-838-5110
Mailing Address - Street 1:600 S LAKE AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3955
Mailing Address - Country:US
Mailing Address - Phone:626-838-5100
Mailing Address - Fax:626-521-6028
Practice Address - Street 1:600 S LAKE AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-3955
Practice Address - Country:US
Practice Address - Phone:626-838-5100
Practice Address - Fax:626-521-6028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization