Organization
TEMECULA VALLEY RADIATION ONCOLOGY MED GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FESTUS B DADA M.D. (OWNER/DIRECTOR)
(951) 200-6875
Entity
Organization
Contact information
Practice address
36320 INLAND VALLEY DR, SUITE 105, WILDOMAR, CA 92595-7512
(951) 200-6875
(951) 200-6877
Mailing address
36320 INLAND VALLEY DR, SUITE 105, WILDOMAR, CA 92595-7512
(951) 200-6875
(951) 200-6877
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C503630
—
CA
Enumeration date
11/21/2006
Last updated
08/25/2014
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