Organization
SANTA CRUZ RADIATION ONCOLOGY MEDICAL GROUP, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY A. MEISEL M.D. (PRESIDENT)
(831) 462-3050
Entity
Organization
Contact information
Practice address
1575 SOQUEL DR, SUITE 100, SANTA CRUZ, CA 95065-1700
(831) 462-3050
(831) 462-6068
Mailing address
1575 SOQUEL DR, SUITE 100, SANTA CRUZ, CA 95065-1700
(831) 462-3050
(831) 462-6068
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF7086
MEDICARE RR
CA
05
—
GR0007340
—
CA
Enumeration date
02/13/2007
Last updated
06/23/2015
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