Provider Demographics
NPI:1821188145
Name:GOLDENVIEW IMAGING AND DIAGNOSTICS INC.
Entity Type:Organization
Organization Name:GOLDENVIEW IMAGING AND DIAGNOSTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPANY SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:RANTIADE
Authorized Official - Middle Name:A
Authorized Official - Last Name:OTULANA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:925-846-5888
Mailing Address - Street 1:1393 SANTA RITA RD
Mailing Address - Street 2:SUITE D.
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-5665
Mailing Address - Country:US
Mailing Address - Phone:925-846-5888
Mailing Address - Fax:
Practice Address - Street 1:1393 SANTA RITA RD
Practice Address - Street 2:SUITE D.
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-5665
Practice Address - Country:US
Practice Address - Phone:925-846-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ01974ZMedicare PIN