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NEWPORT COAST RADIATION ONCOLOGY MEDICAL GROUP INC NPI 1518908847


NPI Information

NPI: 1518908847
Provider Name: NEWPORT COAST RADIATION ONCOLOGY MEDICAL GROUP, INC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
ONE HOAG DRIVE
CANCER CENTER
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 764-5528
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NEWPORT COAST RADIATION ONCOLOGY MEDICAL GROUP, INC is a radiation oncology radiology in Newport Beach, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. NEWPORT COAST RADIATION ONCOLOGY MEDICAL GROUP, INC NPI is 1518908847. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

ONE HOAG DRIVE
CANCER CENTER
NEWPORT BEACH, CA
ZIP 92663-162
Phone: (949) 764-5528
Fax: (949) 764-8106

The provider's authorized official is Russell L Hafer .
The authorized official title is President and has the following contact phone number (949) 764-5528.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 11/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyG53677CALIFORNIANo
22085R0203XRadiologyTherapeutic RadiologyG28037CALIFORNIANo
32085R0001XRadiologyRadiation OncologyA70756CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CG7204MEDICARE PINCALIFORNIA
2HW14792MEDICARE PINCALIFORNIA
3GR0087510MEDICAIDCALIFORNIA
4ZZZ60882ZOTHERCALIFORNIABLUE SHIELD OF CA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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