Nicolas Von Dem Bussche in Newport Beach - Diagnostic Radiology

Nicolas Von Dem Bussche - NPI 1720037682

Nicolas Von Dem Bussche is a Diagnostic Radiology in Newport Beach, California. Nicolas Von Dem Bussche practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Nicolas Von Dem Bussche is 1720037682. The last update date is 2007-10-23.

Nicolas Von Dem Bussche's current location address is 1 Hoag Dr, Newport Beach, California. You can contact this provider via phone number 9492638620 and fax number 9492631639. The mailing address for Nicolas Von Dem Bussche is 1 Hoag Dr, Newport Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicolas Von Dem Bussche
Address 1 Hoag Dr, Newport Beach, California
Phone Number 9492638620
Fax Number 9492631639
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1720037682
Provider Enumeration Date 2006-05-09
Last Updated Date 2007-10-23

Provider Mailing Address Detail

Address 1 Hoag Dr
City Newport Beach
State California (CA)
Post Code 926634162
Phone Number 9492638620
Fax Number 9492631639

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No A79178
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A791780 CA --
00A791780 CA BLUE SHIELD
P00346064 CA RR MEDICARE

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FAQs about Nicolas Von Dem Bussche

What is the Nicolas Von Dem Bussche's unique identification number?

The Nicolas Von Dem Bussche has been assigned the NPI (National Provider Identifier) Number 1720037682 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Nicolas Von Dem Bussche is physically located?

The Nicolas Von Dem Bussche is physically situated at the following address: 1 Hoag Dr, Newport Beach, CA, 926634162.

What is the area of specialization for Nicolas Von Dem Bussche, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Nicolas Von Dem Bussche is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date was the 1720037682 assigned to Nicolas Von Dem Bussche?

The Nicolas Von Dem Bussche was issued its 1720037682 on 2006-05-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Nicolas Von Dem Bussche most recently updated?

The details pertaining to the Nicolas Von Dem Bussche, including its address, specialty, and other relevant information, were last refreshed on 2007-10-23.

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