Organization
PACIFIC INTERVENTIONALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ARATA MD (PRESIDENT)
(949) 629-2950
Entity
Organization
Contact information
Practice address
4501 BIRCH ST, NEWPORT BEACH, CA 92660-1990
(949) 221-0129
(949) 223-4702
Mailing address
PO BOX 12139, NEWPORT BEACH, CA 92658-5053
(949) 629-2950
(949) 606-8995
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
261QR0200X
Radiology Clinic/Center
A70967
CA
Other
Enumeration date
04/24/2008
Last updated
10/17/2013
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