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Organization
NORTH COUNTY RADIATION ONCOLOGY
Active
Organization
NORTH COUNTY RADIATION ONCOLOGY
Active
Other names
Pacific Radiation Oncology Medical Group of San Diego
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BOURBEAU (MANAGER)
(760) 599-9545
Entity
Organization
Contact information
Practice address
477 N EL CAMINO REAL, STE D100, ENCINITAS, CA 92024-1328
(760) 634-4300
(760) 632-9791
Mailing address
916 SYCAMORE AVE, VISTA, CA 92081-7815
(760) 599-9545
(760) 599-9549
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0062074
—
CA
Enumeration date
07/09/2005
Last updated
10/25/2012
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