Organization
REDDING CANCER TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDYA S. BOBBA M.D. (OWNER/PHYSICIAN)
(530) 245-5900
Entity
Organization
Contact information
Practice address
963 BUTTE ST, REDDING, CA 96001-0828
(530) 245-5900
(530) 245-5909
Mailing address
PO BOX 994032, REDDING, CA 96099-4032
(530) 241-0473
(530) 241-5377
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
NONE-GROUP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0087030
—
CA
Enumeration date
07/20/2005
Last updated
08/22/2020
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