BACK BAY MEDICAL LLC
Radiology at Acacia St, Newport Beach, CA

License number
California TG158
Category
Ambulatory Health
Type
Radiology
Owner
Name: DR. GREGORY A ROBERTSON MD
Title: DIRECTOR
Phone: (949) 756-8200
Address
Address
20311 SW Acacia St SUITE 140, Newport Beach, CA 92660
National Provider ID: 1073528469
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BACK BAY MEDICAL LLC at bizstanding.com

Back Bay Medical

20311 SW Acacia St #100, Newport Beach, CA 92660

Status:
Inactive
Industry:
Medical Practice, Medical Imaging Services, Osteopathic Physician's Office Health/Allied Services, ...
Doing business as:
Back Bay Medical, LLC
Registration:
Apr 20, 2000
Site:
massgeneral.org, backbaymedical.com
Phone:
(949) 756-8200 (Phone), (949) 263-1242 (Phone), (949) 250-4244 (Phone)
Description:
There are 3 doctors at this site. Surgery is not performed at this site. Average patient volume is 45 patients per day.
State ID:
200011510134
Business type:
Domestic
Managing Member, Members:
Gaye Burnham (Manager),Gregory A. Robertson Managing Member, Member, inactive
Agent:
Alex J. Llorente
SIC:
8011 - Offices and Clinics of Doctors of Medicine
Specialties:
Primary Care
Products:
Primary Care
Company size:
19

Radiology licenses in California










Other Doctors licenses in California