Organization
ALL-N-1 MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GERARD KACZOR M.D. (PRESIDENT)
(323) 532-9308
Entity
Organization
Contact information
Practice address
4032 WILSHIRE BLVD, SUITE 303, LOS ANGELES, CA 90010-3405
(323) 532-9308
Mailing address
5001 WILSHIRE BLVD, SUITE 112-623, LOS ANGELES, CA 90036-6104
(323) 532-9308
(323) 227-1998
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G60626
CA
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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