Organization
MOJAVE RADIATION ONCOLOGY MEDICAL GROUP, INC.
Active
Other names
Mojave Radiation Oncology Center, San Bernardino Cancer Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MUNTHER E ALQAISI (PROVIDER)
(562) 492-6695
Entity
Organization
Contact information
Practice address
18280 SISKIYOU RD, APPLE VALLEY, CA 92307-1413
(760) 242-1372
(760) 242-1127
Mailing address
104 WOODMONT BLVD STE 500, NASHVILLE, TN 37205-2245
(562) 492-6695
(949) 612-8255
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9673134
—
CA
05
—
GR0050110
—
CA
Enumeration date
07/31/2006
Last updated
01/31/2025
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