Healthcare Provider Details

I. General information

NPI: 1225000433
Provider Name (Legal Business Name): INSIGHT HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 02/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 ROLLING OAKS DR SUITE 150
THOUSAND OAKS CA
91361-1023
US

IV. Provider business mailing address

FILE 57174
LOS ANGELES CA
90074-0001
US

V. Phone/Fax

Practice location:
  • Phone: 805-497-5846
  • Fax:
Mailing address:
  • Phone: 949-282-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN G. DRAZBA
Title or Position: SENIOR V.P. & CHIEF ACCTNG OFFICER
Credential:
Phone: 949-282-6105