Provider Demographics
NPI:1891967949
Name:INSIGHT HEALTH CARE PROVIDERS, INC.
Entity Type:Organization
Organization Name:INSIGHT HEALTH CARE PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RODERICK
Authorized Official - Middle Name:Z
Authorized Official - Last Name:AQUINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-996-3500
Mailing Address - Street 1:500 S KRAEMER BLVD
Mailing Address - Street 2:SUITE #385
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-6728
Mailing Address - Country:US
Mailing Address - Phone:714-996-3500
Mailing Address - Fax:714-996-3552
Practice Address - Street 1:500 S KRAEMER BLVD
Practice Address - Street 2:SUITE #385
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-6728
Practice Address - Country:US
Practice Address - Phone:714-996-3500
Practice Address - Fax:714-996-3552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058419Medicare Oscar/Certification