person
Dr. Nicolas Von Dem Bussche, MD
Diagnostic Radiology Physician in Newport Beach, California
NPI 1720037682

Nicolas Von Dem Bussche is a Diagnostic Radiology Physician based in Newport Beach, CA and is specialized in Diagnostic Radiology. Nicolas Von Dem Bussche practices in Newport Beach, CA and has the professional credentials of MD. The NPI Number for Nicolas Von Dem Bussche is 1720037682 and holds a License No. A79178 (California).

The current practice location address for Nicolas Von Dem Bussche is 1 Hoag Dr, Newport Beach, CA and can be reached out via phone at 949-263-8620 and via fax at 949-263-1639.

Location: 1 Hoag Dr, Newport Beach, CA, 92659-0659
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Provider Profile Details
NPI Number
1720037682
Provider Name
Nicolas Von Dem Bussche
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Hoag Dr, Newport Beach, CA, 92659-0659
Phone Number
949-263-8620
Fax Number
949-263-1639
Provider Enumeration Date
05/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A791780 05 CA
00A791780 01 CA BLUE SHIELD
P00346064 01 CA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1 Hoag Dr
City
State
Zip
92663-4162
Phone Number
949-263-8620
Fax Number
949-263-1639
person
Provider Business Mailing Address Details
Address
1 Hoag Dr
City
State
Zip
92663-4162
Phone Number
949-263-8620
Fax Number
949-263-1639
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
A79178 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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