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General NPI Number Information
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NPI Number | 1518908847
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Entity Type | Organization
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Legal Business Name | NEWPORT COAST RADIATION ONCOLOGY MEDICAL GROUP, INC
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | ONE HOAG DRIVE CANCER CENTER
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4162
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Country | US
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Telephone | 949-764-5528
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Fax | 949-764-8106
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Provider Business Mailing Address
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Address Line | PO BOX 8598
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City | PASADENA
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State | CA
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Zip | 91109-8605
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Country | US
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Telephone | 949-263-8620
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Fax | 949-263-0473
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRAIG COX JR.
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Credential | MD
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Telephone | 615-296-0952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | G53677
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | G28037
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | A70756
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License Number State | CA
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