Organization
ORANGE COAST RADIATION ONCOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZIAULLA SYED (CHIEF OPERATIONS OFFICER)
(562) 492-6695
Entity
Organization
Contact information
Practice address
18111 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-6728
(562) 492-6695
(562) 988-0389
Mailing address
2650 ELM AVE STE 201, LONG BEACH, CA 90806-1600
(562) 492-6695
(562) 988-0389
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
07/11/2014
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