Organization
WHITTIER ONCOLOGY MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DIAO MD (PRESIDENT)
(562) 696-5964
Entity
Organization
Contact information
Practice address
12393 WASHINGTON BLVD, WHITTIER, CA 90606-2502
(562) 696-5964
(562) 693-6940
Mailing address
12393 WASHINGTON BLVD, WHITTIER, CA 90606-2502
(562) 696-5964
(562) 464-5120
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
G56388
CA
261QX0203X
Radiation Oncology Clinic/Center
Primary
G62716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ72741Z
BLUE SHIELD
CA
05
—
ZZZ72741Z
—
CA
Enumeration date
01/18/2007
Last updated
02/24/2026
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