Provider Demographics
NPI:1447273115
Name:IMPERIO, JOSHUA ALPHONSE (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ALPHONSE
Last Name:IMPERIO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:72780 COUNTRY CLUB DR
Mailing Address - Street 2:BLDG B 205-B
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4126
Mailing Address - Country:US
Mailing Address - Phone:760-834-7900
Mailing Address - Fax:760-834-7901
Practice Address - Street 1:72780 COUNTRY CLUB DR
Practice Address - Street 2:BLDG B 205-B
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-4126
Practice Address - Country:US
Practice Address - Phone:760-834-7900
Practice Address - Fax:760-834-7901
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2021-12-03
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Provider Licenses
StateLicense IDTaxonomies
CAA56083207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF84074Medicare UPIN