Organization
NEWPORT BRACHYTHERAPY INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL ALAN SCHARLACH M.D. (CHIEF EXECUTIVE OFFICER)
(818) 449-2700
Entity
Organization
Contact information
Practice address
369 SAN MIGUEL DR, SUITE 235, NEWPORT BEACH, CA 92660-7818
(949) 706-2887
Mailing address
369 SAN MIGUEL DR, SUITE 235, NEWPORT BEACH, CA 92660-7818
(949) 706-2887
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A80890
CA
Other
Enumeration date
06/17/2014
Last updated
07/18/2014
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