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Back Bay Medical Llc
Radiology Clinic/Center in Newport Beach, California
NPI 1073528469

Back Bay Medical Llc is a Radiology Clinic/Center based in Newport Beach, CA and is specialized in Radiology. Back Bay Medical Llc practices in Newport Beach, CA. The NPI Number for Back Bay Medical Llc is 1073528469 and holds a License No. TG158 (California).

The current practice location address for Back Bay Medical Llc is 20311 Sw Acacia St, Newport Beach, CA and can be reached out via phone at 949-756-8200 and via fax at 949-203-8542.

Location: 20311 Sw Acacia St, Newport Beach, CA, 92660-1733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073528469
Provider Name
Back Bay Medical Llc
Credential
Provider Entity Type
Organization
Address
20311 Sw Acacia St, Newport Beach, CA, 92660-1733
Phone Number
949-756-8200
Fax Number
949-203-8542
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
20311 Sw Acacia St
City
Newport Beach
State
California
Zip
92660-1733
Phone Number
949-756-8200
Fax Number
949-203-8542
person
Provider Business Mailing Address Details
Address
20311 Sw Acacia St
City
Newport Beach
State
California
Zip
92660-1733
Phone Number
949-756-8200
Fax Number
949-203-8542
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
TG158 (California)
Definition
Definition to come...
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