Healthcare Provider Details

I. General information

NPI: 1346491438
Provider Name (Legal Business Name): INSIGHT HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21030 REDWOOD RD
CASTRO VALLEY CA
94546-5920
US

IV. Provider business mailing address

PO BOX 404166
ATLANTA GA
30384-4166
US

V. Phone/Fax

Practice location:
  • Phone: 925-327-0015
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN G DRAZBA
Title or Position: SENIOR VP, CHIEF ACCOUNTING OFFICER
Credential:
Phone: 949-282-6000