Provider Demographics
NPI:1952924599
Name:ORACLE IMAGING INC.
Entity Type:Organization
Organization Name:ORACLE IMAGING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-575-3914
Mailing Address - Street 1:1741 W ROMNEYA DR STE B
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-1805
Mailing Address - Country:US
Mailing Address - Phone:714-332-5000
Mailing Address - Fax:
Practice Address - Street 1:6941 BROCKTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3803
Practice Address - Country:US
Practice Address - Phone:650-575-3914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology