Provider Demographics
NPI:1942943626
Name:IMPERIAL, ELIZABETH CABANA (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:CABANA
Last Name:IMPERIAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:DIZON
Other - Last Name:CABANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:705 N OXNARD BLVD UNIT 106
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-4314
Mailing Address - Country:US
Mailing Address - Phone:805-983-0933
Mailing Address - Fax:
Practice Address - Street 1:705 N OXNARD BLVD UNIT 106
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-4314
Practice Address - Country:US
Practice Address - Phone:805-983-0933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-19
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.080456207Q00000X
CA204387207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine