Organization
NORTHERN CALIFORNIA RADIATION THERAPISTS & ONCOLOGISTS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY M CHAUSER MD (MEDICAL DIRECTOR)
(209) 342-2300
Entity
Organization
Contact information
Practice address
1900 SULLIVAN AVE, RADIATION ONCOLOGY DEPT, DALY CITY, CA 94015-2200
(209) 342-2300
(209) 524-4240
Mailing address
4301 N STAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G12439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ86312Z
BLUE SHIELD
CA
05
—
ZZZ86312Z
—
CA
Enumeration date
12/21/2007
Last updated
12/21/2007
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