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Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCSD Radiation Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN CASEY SANDACK (CHIEF BUS DEV & ADMIN OFC)
(858) 246-6050
Entity
Organization
Contact information
Practice address
1200 GARDEN VIEW RD, SUITE 210, ENCINITAS, CA 92024-2477
(858) 246-0500
(858) 246-0501
Mailing address
PO BOX 30590, LOS ANGELES, CA 90030-0590
(858) 246-0500
(858) 246-0501
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548419526
—
CA
Enumeration date
09/15/2008
Last updated
08/01/2024
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