MEDICARE: CHI IMAGING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist	2824006	CA

General Provider Information

NPI Number	:	1154362622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHI IMAGING, INC.

Provider Business Mailing Address
First Line	:	13263 VENTURA BLVD
Second Line	:	SUITE 9
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-1839
Country	:	US
Telephone Number	:	818-783-1294
Fax Number	:	818-783-1296

Provider Business Practice Location Address
First Line	:	13263 VENTURA BLVD
Second Line	:	SUITE 9
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-1839
Country	:	US
Telephone Number	:	818-783-1294
Fax Number	:	818-783-1296

Authorized Official
Title or Position	:	CEO
Name	:	MISS ANNA NAYBERG
Credential	:
Telephone Number	:	818-783-1294

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	08/22/2020

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Directions to “CHI IMAGING, INC. ” Practice Location

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