Organization
EAST BAY SPECIAL IMAGING MEDICAL GROUP, INC.
Active
Organization
EAST BAY SPECIAL IMAGING MEDICAL GROUP, INC.
Active
Other names
East Bay Special Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS H.L. CHIN (MANAGING PARTNER)
(510) 451-6950
Entity
Organization
Contact information
Practice address
80 GRAND AVE, SUITE 100, OAKLAND, CA 94612-3725
(510) 587-0650
(510) 587-0649
Mailing address
PO BOX 1017, LAFAYETTE, CA 94549-1017
(510) 587-0650
(510) 587-0649
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
01/22/2009
Last updated
12/20/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up