Organization
VANTAGE ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAIRIA SIMENTAL M.D. (MEDICAL DIRECTOR)
(909) 475-2701
Entity
Organization
Contact information
Practice address
401 E HIGHLAND AVE, SUITE D, SAN BERNARDINO, CA 92404-3803
(909) 475-2703
(909) 475-2736
Mailing address
401 E HIGHLAND AVE, SUITE D, SAN BERNARDINO, CA 92404-3803
(909) 475-2703
(909) 475-2726
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
12/17/2011
Last updated
12/21/2011
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