Healthcare Provider Details

I. General information

NPI: 1225201742
Provider Name (Legal Business Name): INSIGHT HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2008
Last Update Date: 04/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21828 NORMANDIE AVE MOBILE UNIT
TORRANCE CA
90502-2047
US

IV. Provider business mailing address

FILE 57174
LOS ANGELES CA
90074-0001
US

V. Phone/Fax

Practice location:
  • Phone: 310-212-5939
  • Fax:
Mailing address:
  • Phone:
  • 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: BRIAN G DRAZBA
Title or Position: SENIOR VP & CHIEF ACCOUNTING OFCR
Credential:
Phone: 949-282-6000