Organization · Type 2 NPI

Newport Center Radiology Medical Group Inc.

Radiology Clinic/Center · Tustin, CA

NPI number 1205304433 Active

Practice location

15000 Kensington Park Dr
Tustin, CA 92782-1830

Call (714) 477-8340 Map

Fax (714) 477-8341

Mailing address

Dept La 21705
Pasadena, CA 91185-1705

Specialties and licenses

Taxonomy	Code	License
Radiology Clinic/Center Primary	261QR0200X	None listed

Radiology Clinic/Center: Definition to come...

7 other providers at this address

NPI record

NPI: 1205304433
Entity type: Organization (Type 2)
Issued: Nov 6, 2018
Last updated: Nov 26, 2018
Status: Active
Subpart: Yes of Newport Center Radiology Medical Group Inc.

Other names

<unavail>
Tustin Imaging Center · doing business as

Authorized official

Michael C Roossin, MD
President
(949) 263-8620

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About NPI 1205304433

Newport Center Radiology Medical Group Inc.'s National Provider Identifier is 1205304433, issued on Nov 6, 2018. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Tustin, CA. The record was last updated on Nov 26, 2018.