Organization · Type 2 NPI
Back Bay Medical LLC
Radiology Clinic/Center · Newport Beach, CA
NPI number
1073528469
Active
Practice location
20311 SW Acacia St, Suite 140
Newport Beach, CA 92660-1733
Fax (949) 203-8542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | TG158 (CA) |
Radiology Clinic/Center: Definition to come...
5 other providers at this address
- Gregory A Robertson MD A Professional Medical CorporationInternal Medicine Physician Newport Beach, CA NPI 1417197443
- Jeffrey Bloom D.o. Inc, dba Back Bay MedicalSports Medicine (Family Medicine) Physician Newport Beach, CA NPI 1538405220
- Gregory A. Robertson, MDInternal Medicine Physician Newport Beach, CA NPI 1932281011
- Jeffrey Howard Bloom, DOSports Medicine (Family Medicine) Physician Newport Beach, CA NPI 1669472148
- Russell S. Alterman, DOInternal Medicine Physician Newport Beach, CA NPI 1487609939
Other radiology clinic/center providers in Newport Beach
- Wave Imaging LLCRadiology Clinic/Center Newport Beach, CA NPI 1881097095
- Back Bay Imaging Inc.Radiology Clinic/Center Newport Beach, CA NPI 1891232294
- Birch Medical Office Center, LLCRadiology Clinic/Center Newport Beach, CA NPI 1922038165
- Newport Diagnostic Center IncRadiology Clinic/Center Newport Beach, CA NPI 1932117249
- Wave Imaging, LLCRadiology Clinic/Center Newport Beach, CA NPI 1982037859
About NPI 1073528469
Back Bay Medical LLC's National Provider Identifier is 1073528469, issued on Jul 31, 2006. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Newport Beach, CA. The record was last updated on Oct 22, 2007.