Provider Demographics
NPI:1649951229
Name:ORANGE COAST TELERADIOLOGY, LLC
Entity type:Organization
Organization Name:ORANGE COAST TELERADIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARVINDERPAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SARAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-903-6319
Mailing Address - Street 1:2549 EASTBLUFF DR STE 414
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-3500
Mailing Address - Country:US
Mailing Address - Phone:949-903-6319
Mailing Address - Fax:
Practice Address - Street 1:286 EVENING CANYON RD
Practice Address - Street 2:
Practice Address - City:CORONA DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92625-2655
Practice Address - Country:US
Practice Address - Phone:949-903-6319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty