Organization
LOS ANGELES RADIATION ONCOLOGY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FONTANESI M.D. (PARTNER)
(714) 573-9500
Entity
Organization
Contact information
Practice address
14642 NEWPORT AVE, #470, TUSTIN, CA 92780-6057
(714) 573-9500
(714) 573-9505
Mailing address
PO BOX 4085, TUSTIN, CA 92781-4085
(714) 573-9500
(714) 573-9505
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092810
—
CA
Enumeration date
01/27/2006
Last updated
08/22/2020
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