National Provider Identifier Database

NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


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
* Diagnostic Radiology 2085R0202X
Nuclear Medicine 207U00000X

* Indicates primary specialty

NPI Profile & details for NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC

NPI Number 1013951714
Legal business name
LBN
NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC
Authorized official MICHAEL ROOSSIN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/15/2006
Last updated 08/20/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: GR0027850
  • CA Other: ZZZ05509Z BLUE SHIELD
  • CA Other: ZZZ13769Z BLUE SHIELD
  • CA Other: ZZZ16877Z BLUE SHIELD

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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