Provider Demographics
NPI:1417763830
Name:COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-763-5502
Mailing Address - Street 1:1031 W CHAPMAN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2872
Mailing Address - Country:US
Mailing Address - Phone:714-763-5502
Mailing Address - Fax:714-763-5502
Practice Address - Street 1:1031 W CHAPMAN AVE STE 101
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2872
Practice Address - Country:US
Practice Address - Phone:714-763-5502
Practice Address - Fax:714-763-5502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty