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CHARLES E. IMBUS MD INC NPI 1659646636


NPI Information

NPI: 1659646636
Provider Name: CHARLES E. IMBUS, MD, INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
665 W NAOMI AVE STE 202
ARCADIA, CA
ZIP 91007
Phone: (626) 445-6275
Get Directions

CHARLES E. IMBUS, MD, INC is a neurology psychiatry neurology in Arcadia, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CHARLES E. IMBUS, MD, INC NPI is 1659646636. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

665 W NAOMI AVE STE 202
ARCADIA, CA
ZIP 91007-563
Phone: (626) 445-6275
Fax: (626) 445-3583

The provider's authorized official is Charles Eugene Imbus .
The authorized official title is Physician & President and has the following contact phone number (626) 445-6275.

The enumeration date for this NPI number is 3/9/2012 and was last updated on 3/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
32084S0012XPsychiatry & NeurologySleep MedicineNo
42084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11912999764OTHERINDIVIDUAL NPI
200C346420MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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