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EAGLE IMAGING MEDICAL GROUP INC. NPI 1518165638


NPI Information

NPI: 1518165638
Provider Name: EAGLE IMAGING MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
431 S BATAVIA ST
STE. 103
ORANGE, CA
ZIP 92868
Phone: (714) 538-6731
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EAGLE IMAGING MEDICAL GROUP, INC. is a diagnostic radiology radiology in Orange, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. EAGLE IMAGING MEDICAL GROUP, INC. NPI is 1518165638. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

431 S BATAVIA ST
STE. 103
ORANGE, CA
ZIP 92868-936
Phone: (714) 538-6731
Fax: (714) 771-8369

The provider's authorized official is Barry Haberman .
The authorized official title is Authorized Official and has the following contact phone number (714) 571-5000.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 8/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0095110MEDICAIDCALIFORNIA
2GR0095113MEDICAIDCALIFORNIA
3GR0095111MEDICAIDCALIFORNIA
4GR0095112MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.