Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
Nevada Cancer Institute, an affiliate of UCSD Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY GOLDMAN FACHE (PRESIDENT/CEO)
(702) 821-0005
Entity
Organization
Contact information
Practice address
1 BREAKTHROUGH WAY, LAS VEGAS, NV 89135-3011
(702) 822-5433
Mailing address
1 BREAKTHROUGH WAY, LAS VEGAS, NV 89135-3011
(702) 822-5433
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
NV
2085R0001X
Radiation Oncology Physician
—
NV
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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