MEDICARE: CHI IMAGING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1295782001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHI IMAGING INC

Provider Business Mailing Address
First Line	:	3171 LOS FELIZ BLVD
Second Line	:	SUITE 218
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1527
Country	:	US
Telephone Number	:	323-662-7555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3171 LOS FELIZ BLVD
Second Line	:	SUITE 218
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1527
Country	:	US
Telephone Number	:	323-662-7555
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. ANNA NAYBERG
Credential	:
Telephone Number	:	818-783-1294

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	03/21/2008

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Directions to “CHI IMAGING INC ” Practice Location

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