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Organization
CALIFORNIA ONCOLOGY MEDICAL GROUP OF TURLOCK, INC.
Active
Organization
CALIFORNIA ONCOLOGY MEDICAL GROUP OF TURLOCK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ELSAYED ELDALY MD (DIRECTOR)
(209) 669-8300
Entity
Organization
Contact information
Practice address
880 E TUOLUMNE RD, 103, TURLOCK, CA 95382-1548
(209) 669-8300
(209) 669-9300
Mailing address
6121 N THESTA ST, 204, FRESNO, CA 93710-8603
(559) 438-7390
(559) 438-7166
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
J13239
MA
207RH0003X
Hematology & Oncology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0103970
—
CA
01
—
ZZZ67013Z
BLUE SHIELD
CA
Enumeration date
10/16/2006
Last updated
06/02/2008
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