Individual
DR. ROY VONGTAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLAZA, B265, LOS ANGELES, CA 90095
(310) 825-0128
(310) 794-9795
Mailing address
FILE #2939, LOS ANGELS, CA 90074
(310) 301-8709
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A78334
CA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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