Healthcare Provider Details

I. General information

NPI: 1164497921
Provider Name (Legal Business Name): INSIGHT HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 11/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12455 WASHINGTON BLVD
WHITTIER CA
90602-1006
US

IV. Provider business mailing address

26250 ENTERPRISE CT STE 100
LAKE FOREST CA
92630-8406
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-1261
  • Fax: 562-698-3172
Mailing address:
  • Phone: 949-282-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA R. BLANK
Title or Position: EXECUTIVE VICE PRESIDENT, RCM
Credential:
Phone: 949-282-6000