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EAST BAY SPECIAL IMAGING MEDICAL GROUP INC. NPI 1871731299


NPI Information

NPI: 1871731299
Provider Name: EAST BAY SPECIAL IMAGING MEDICAL GROUP, INC.

Doing Business As: EAST BAY SPECIAL IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
80 GRAND AVE
SUITE 100
OAKLAND, CA
ZIP 94612
Phone: (510) 587-0650
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EAST BAY SPECIAL IMAGING MEDICAL GROUP, INC. is a diagnostic radiology radiology in Oakland, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. EAST BAY SPECIAL IMAGING MEDICAL GROUP, INC. NPI is 1871731299. The provider is registered as an organization entity type.
The provider Is Doing Business As East Bay Special Imaging.

The provider's business location address is:

80 GRAND AVE
SUITE 100
OAKLAND, CA
ZIP 94612-725
Phone: (510) 587-0650
Fax: (510) 587-0649

The provider's authorized official is Douglas H.l. Chin .
The authorized official title is Managing Partner and has the following contact phone number (510) 451-6950.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 12/20/2011.


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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
2261QR0200XClinic/CenterRadiologyNo
32085R0202XRadiologyDiagnostic 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
1BT409AMEDICARE PINCALIFORNIA

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

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