Healthcare Provider Details

I. General information

NPI: 1174754048
Provider Name (Legal Business Name): IMAGING CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2009
Last Update Date: 11/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

488 E VALLEY PKWY SUITE 100
ESCONDIDO CA
92025-3363
US

IV. Provider business mailing address

3572 PRINCE ST
ESCONDIDO CA
92025-7616
US

V. Phone/Fax

Practice location:
  • Phone: 760-520-8500
  • Fax: 760-520-8523
Mailing address:
  • Phone: 858-350-3750
  • Fax: 760-317-1846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALLEN NALBANDIAN
Title or Position: PRESIDENT / CEO
Credential: M.D.
Phone: 760-443-1847