Organization
SRI GORTY M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRI GORTY M.D. (OWNER)
(562) 492-6695
Entity
Organization
Contact information
Practice address
4500 BROCKTON AVE, 101, RIVERSIDE, CA 92501-4090
(951) 788-3000
Mailing address
2650 ELM AVE, 201, LONG BEACH, CA 90806-1651
(562) 492-6695
(562) 988-0389
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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