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Contact Information

NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC
360 SAN MIGUEL DR STE 106
NEWPORT BEACH, CA92660
 Phone: 949-764-7480
 Fax: 949-721-9411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC · (Female)

NPI Number 1013951714
Status Active
Credentials
Entity Individual
Enumeration date 06/15/2006
Last updated 08/20/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR0027850
  • CA Other ZZZ05509Z BLUE SHIELD
  • CA Other ZZZ13769Z BLUE SHIELD
  • CA Other ZZZ16877Z BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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