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OIG exclusion detail

IMPERIAL MEDICAL SUPPLY, INC

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
1417972381
Name
IMPERIAL MEDICAL SUPPLY, INC
Address
15125 VENTURA BLVD, #204, SHERMAN OAKS, CA, 91403
Specialty
DME - GENERAL
Exclusion type
1128a1
Exclusion date
20121120
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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