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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BACK BAY MEDICAL LLC

Active Organization

BACK BAY MEDICAL LLC is a Radiology, Mammography organization located in NEWPORT BEACH, California. NPI 1073528469 is currently active in the NPPES registry. Verify at CMS.

Radiology, Mammography · NEWPORT BEACH, CA

Registration Details

NPI Number
1073528469
Provider Type
Organization
NPI Issued
Jul 31, 2006 (20.058397997867 yrs)
Last Updated
Oct 22, 2007
License
TG158 (CA)

Practice Information

Address
20311 SW ACACIA ST
SUITE 140
NEWPORT BEACH, CA, 926601733
Browse CA providers · Browse ZIP 92660
Phone
9497568200
Fax
9492038542
Primary Specialty
Radiology, Mammography
261QR0200X

Other Radiology, Mammography Organizations in NEWPORT BEACH, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.