Organization
EL PORTAL MEDICAL ONCOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIREZA A MAHMOUDIEH MD (MEDICAL DIRECTOR)
(209) 726-3410
Entity
Organization
Contact information
Practice address
3365 G ST STE 60, MERCED, CA 95340-0995
(209) 726-3410
(209) 726-3371
Mailing address
3365 G ST STE 60, MERCED, CA 95340-0995
(209) 726-3410
(209) 726-3371
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
CA
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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