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NPI Code Detail

MEDICARE: INSIGHT HEALTH CORP

MEDICARE: INSIGHT HEALTH CORP
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
12085R0202XDiagnostic Radiology Physician
2293D00000XPhysiological Laboratory

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2470000890OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225003072
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSIGHT HEALTH CORP
Provider Business Mailing Address
First Line : FILE 57174
Second Line :
City : LOS ANGELES
State : CA
Zip : 90074-0001
Country : US
Telephone Number : 949-282-6000
Fax Number :
Provider Business Practice Location Address
First Line : 14445 OLIVE VIEW DR
Second Line :
City : SYLMAR
State : CA
Zip : 91342-1437
Country : US
Telephone Number : 818-364-3535
Fax Number : 818-364-3555
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER; TREASURER
Name : JAMES F. STANLEY
Credential :
Telephone Number : 949-282-6000
Provider Enumeration Date : 02/22/2006
Last Update Date : 09/04/2012

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Practice Fax: 818-332-7072
1629011986 — COUNTY OF LOS ANGELES
Practice Location Address:
14445 OLIVE VIEW DR
SYLMAR, CA
91342-1437
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Practice Location Address:
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1467480251 — DR. HEATHERLY SMITH VANDEWEGHE M.D.
Practice Location Address:
14445 OLIVE VIEW DR , DEPARTMENT OF PEDIATRICS
SYLMAR, CA
91342-1437
Practice Phone: 818-364-3233
Practice Fax: 818-364-3243

Directions to “INSIGHT HEALTH CORP ” Practice Location

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