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Organization
WILSHIRE ONCOLOGY MEDICAL GROUP INC
Active
Organization
WILSHIRE ONCOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA D BOSSERMAN MD (PRESIDENT)
(909) 593-4333
Entity
Organization
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-5764
(951) 486-5749
Mailing address
1502 ARROW HWY, LA VERNE, CA 91750-5318
(909) 593-4333
(909) 593-5588
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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