BACK BAY MEDICAL LLC NPI 1073528469

NPI Information

BACK BAY MEDICAL LLC is a radiology clinic center in Newport Beach, CA. BACK BAY MEDICAL LLC NPI is 1073528469. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Body Scan Of Newport.

The provider's business location address is:

20311 SW ACACIA ST
SUITE 140
NEWPORT BEACH, CA
ZIP 92660-733
Phone: (949) 756-8200
Fax: (949) 203-8542

The provider's authorized official is Gregory A Robertson .
The authorized official title is Director and has the following contact phone number (949) 756-8200.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 10/22/2007.

Taxonomy Codes

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