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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

NPI # 1013951714
LBN Legal business name NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC
Authorized official MICHAEL ROOSSIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2006
Last updated 08/20/2018 - About 8 years ago
Identifiers
CA Medicaid GR0027850
CA Other ZZZ05509Z BLUE SHIELD
CA Other ZZZ13769Z BLUE SHIELD
CA Other ZZZ16877Z BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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