Healthcare Provider Details

I. General information

NPI: 1114160454
Provider Name (Legal Business Name): MAGNETIC IMAGING AFFILIATES,A CALIFORNIA LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 11/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5730 TELEGRAPH AVE
OAKLAND CA
94609-1710
US

IV. Provider business mailing address

2125 OAK GROVE RD SUITE 200
WALNUT CREEK CA
94598-2536
US

V. Phone/Fax

Practice location:
  • Phone: 925-296-7150
  • Fax: 925-296-7171
Mailing address:
  • Phone: 925-296-7150
  • Fax: 925-296-7171

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: DR. IRA JOHN FINCH
Title or Position: PRESIDENT
Credential:
Phone: 925-296-7150