Organization
VIJAY KINI MD. INC.
Active
Other names
Radiation Oncology Medical Group of Southern CA, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYKUMAR R KINI MD (OWNER)
(949) 381-5800
Entity
Organization
Contact information
Practice address
2895 EDINGER AVE, TUSTIN, CA 92780-7257
(949) 381-5800
(949) 552-5152
Mailing address
PO BOX 101455, PASADENA, CA 91189-1455
(770) 693-2622
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ77835Z
—
CA
Enumeration date
07/05/2006
Last updated
04/17/2017
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