Provider Demographics
NPI:1770786469
Name:IMPARATO, JENNIFER MARIA (DO)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MARIA
Last Name:IMPARATO
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Gender:F
Credentials:DO
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Mailing Address - Street 1:12462 PUTNAM ST.
Mailing Address - Street 2:SUITE 506
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1002
Mailing Address - Country:US
Mailing Address - Phone:562-698-8141
Mailing Address - Fax:562-698-9885
Practice Address - Street 1:12462 PUTNAM ST.
Practice Address - Street 2:SUITE 506
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1002
Practice Address - Country:US
Practice Address - Phone:562-698-8141
Practice Address - Fax:562-698-9885
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2010-08-25
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Provider Licenses
StateLicense IDTaxonomies
CA20A9838207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine