BACK BAY MEDICAL LLC

NEWPORT BEACH, CA
NPI1073528469
Doing Business AsADVANCED BODY SCAN OF NEWPORT
Entity TypeOrganization
Authorized ContactGREGORY A ROBERTSON
Director
949-756-8200
Organization Subpart ?No
Primary Taxonomy261QR0200X Clinic/Center, Radiology
(Licence: CA  TG158)
Enumeration Date2006-07-31
Last Update Date2007-10-22
Business Address
BACK BAY MEDICAL LLC
20311 SW ACACIA ST SUITE 140
NEWPORT BEACH, CA 92660-1733
Phone number: 949-756-8200
Mailing Address
BACK BAY MEDICAL LLC
20311 SW ACACIA ST SUITE 140
NEWPORT BEACH, CA 92660-1733
Phone number: 949-756-8200