Provider Demographics
NPI:1689983926
Name:ANAHEIM HILLS MEDICAL IMAGING LLC
Entity Type:Organization
Organization Name:ANAHEIM HILLS MEDICAL IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:PRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-929-1836
Mailing Address - Street 1:781 S WEIR CANYON RD STE 185
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-1965
Mailing Address - Country:US
Mailing Address - Phone:714-282-8160
Mailing Address - Fax:714-282-7031
Practice Address - Street 1:781 S WEIR CANYON RD
Practice Address - Street 2:SUITE 185
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-1965
Practice Address - Country:US
Practice Address - Phone:714-282-8160
Practice Address - Fax:714-282-7031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty