Individual provider · Type 1 NPI

Imogen Jamie Elizabeth Gardner

Specialist · Riverside, CA

NPI number 1346146263 Active

Practice location

6840 Indiana Ave Ste 150
Riverside, CA 92506-4271

Call (951) 530-8148 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XL10033 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1346146263

Imogen Jamie Elizabeth Gardner's National Provider Identifier is 1346146263, issued on Oct 16, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Riverside, CA. The record was last updated on Oct 16, 2026.