Organization
RADIN CARDIOVASCULAR MEDICAL GROUP INC
Active
Organization
RADIN CARDIOVASCULAR MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M RADIN M.D. (OWNER)
(949) 722-7555
Entity
Organization
Contact information
Practice address
1501 SUPERIOR AVE, #312, NEWPORT BEACH, CA 92663-3600
(949) 722-7555
(949) 515-3937
Mailing address
1501 SUPERIOR AVE, #312, NEWPORT BEACH, CA 92663-3600
(949) 722-7555
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G56739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G56739
MEDICAL LICENSE
CA
01
—
GC590A
MEDICARE P-TAN
CA
Enumeration date
04/06/2012
Last updated
05/05/2014
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