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Organization

NEWPORT CENTER RADIOLOGY MEDICAL GROUP INC.

Active
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Organization

NEWPORT CENTER RADIOLOGY MEDICAL GROUP INC.

Active
Parent organization
NEWPORT CENTER RADIOLOGY MEDICAL GROUP INC.
Other names
Tustin Imaging Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEWPORT CENTER RADIOLOGY MEDICAL GROUP INC.
Authorized official
MICHAEL C ROOSSIN MD (PRESIDENT)
(949) 263-8620
Entity
Organization

Contact information

Practice address
15000 KENSINGTON PARK DR, TUSTIN, CA 92782-1830
(714) 477-8340
(714) 477-8341
Mailing address
DEPT LA 21705, PASADENA, CA 91185-1705
(949) 263-8620
(714) 727-1007

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—

Other

Enumeration date
11/06/2018
Last updated
11/26/2018
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