Provider Demographics
NPI:1538463609
Name:JULIANA & ROLA
Entity Type:Organization
Organization Name:JULIANA & ROLA
Other - Org Name:ONLINE IMAGING NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-643-1399
Mailing Address - Street 1:30 OLD MISSION RD
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-1623
Mailing Address - Country:US
Mailing Address - Phone:949-643-1399
Mailing Address - Fax:949-643-1249
Practice Address - Street 1:30 OLD MISSION RD
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-1623
Practice Address - Country:US
Practice Address - Phone:949-643-1399
Practice Address - Fax:949-643-1249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty