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Organization
WEST RAD MEDICAL GROUP
Active
Organization
WEST RAD MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GEOFFERY STEIN M.D. (PRESIDENT)
(714) 835-6055
Entity
Organization
Contact information
Practice address
1100-A N TUSTIN AVE, SANTA ANA, CA 92705-3509
(714) 835-6055
(714) 835-3287
Mailing address
PO BOX 11924, SANTA ANA, CA 92711-1924
(714) 835-3709
(714) 836-7034
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
042713
CA
2085N0700X
Neuroradiology Physician
042713
CA
2085N0904X
Nuclear Radiology Physician
042713
CA
2085R0202X
Diagnostic Radiology Physician
Primary
042713
CA
2085R0204X
Vascular & Interventional Radiology Physician
042713
CA
2085U0001X
Diagnostic Ultrasound Physician
042713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0050440
—
CA
05
—
GR0050441
—
CA
05
—
GR0050442
—
CA
05
—
GR0050443
—
CA
05
—
GR0050444
—
CA
Enumeration date
06/22/2006
Last updated
02/13/2008
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