Organization
INSIGHT HEALTH CORP
Active
Other names
INSIGHT IMAGING - Fullerton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN G DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR)
(949) 282-6000
Entity
Organization
Contact information
Practice address
301 W BASTANCHURY RD, STE 128 & 130, FULLERTON, CA 92835-3419
(714) 278-9363
(714) 278-9364
Mailing address
FILE 57174, LOS ANGELES, CA 90074-0001
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXE70113F
—
CA
01
—
P00020788
RAILROAD MEDICARE PIN
CA
Enumeration date
02/23/2006
Last updated
02/15/2008
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