Organization
CYBERKNIFE OF SOUTHERN CALIFORNIA AT VISTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH N BOURBEAU (MANAGER)
(760) 599-9545
Entity
Organization
Contact information
Practice address
902 SYCAMORE AVE, SUITE 100, VISTA, CA 92081-7879
(760) 599-9545
(760) 599-9549
Mailing address
902 SYCAMORE AVE, SUITE 100, VISTA, CA 92081-7879
(760) 599-9545
(760) 599-9549
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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