Provider Demographics
NPI:1154362622
Name:CHI IMAGING, INC.
Entity type:Organization
Organization Name:CHI IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAYBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-783-1294
Mailing Address - Street 1:13263 VENTURA BLVD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-1839
Mailing Address - Country:US
Mailing Address - Phone:818-783-1294
Mailing Address - Fax:818-783-1296
Practice Address - Street 1:13263 VENTURA BLVD
Practice Address - Street 2:SUITE 9
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-1839
Practice Address - Country:US
Practice Address - Phone:818-783-1294
Practice Address - Fax:818-783-1296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2824006246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty