Organization
ADVANCED RADIATION ONCOLOGY SERVICES, MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LI LIU M.D. (PRESIDENT/CEO)
(559) 450-5530
Entity
Organization
Contact information
Practice address
7130 N MILLBROOK AVE, SUITE 112, FRESNO, CA 93720-3347
(559) 450-5530
(559) 450-3064
Mailing address
7130 N MILLBROOK AVE, SUITE 112, FRESNO, CA 93720-3347
(559) 450-5530
(559) 450-3064
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0069700
—
CA
05
—
GR0069701
—
CA
05
—
GR0069702
—
CA
01
—
ZZZ01561Z
PTAN
CA
01
—
ZZZ43538Z
MEDICARE-PTAN
CA
01
—
ZZZ43539Z
PTAN
CA
Enumeration date
02/21/2006
Last updated
11/06/2009
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