Healthcare Provider Details

I. General information

NPI: 1821188145
Provider Name (Legal Business Name): GOLDENVIEW IMAGING AND DIAGNOSTICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 03/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1393 SANTA RITA RD SUITE D.
PLEASANTON CA
94566-5665
US

IV. Provider business mailing address

1393 SANTA RITA RD SUITE D.
PLEASANTON CA
94566-5665
US

V. Phone/Fax

Practice location:
  • Phone: 925-846-5888
  • Fax:
Mailing address:
  • Phone: 925-846-5888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471M1202X
TaxonomyMagnetic Resonance Imaging Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. RANTIADE A OTULANA
Title or Position: COMPANY SECRETARY
Credential: R.N.
Phone: 925-846-5888