Organization
ROTATING GAMMA INSTITUTE ORANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P CLARK (PRESIDENT)
(714) 816-8705
Entity
Organization
Contact information
Practice address
3400 W BALL RD, STE 101, ANAHEIM, CA 92804-3738
(714) 816-8705
Mailing address
3400 W. BALL ROAD, SUITE 101, ANAHEIM, CA 92804-3738
(714) 816-8705
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
7677-30
CA
Other
Enumeration date
03/17/2009
Last updated
05/20/2010
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