Organization
CALIFORNIA RADIATION ONCOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYED ZIAULLA (ADMINISTRATOR)
(562) 492-6695
Entity
Organization
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-0300
(562) 933-0301
Mailing address
2650 ELM AVE, SUITE 201, LONG BEACH, CA 90806-1651
(562) 492-6695
(562) 988-0389
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ80551Z
—
CA
Enumeration date
07/30/2006
Last updated
08/22/2020
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