Organization
OASIS MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A J ROGERS (PRESIDENT)
(909) 370-4400
Entity
Organization
Contact information
Practice address
1550 E WASHINGTON ST, SUITE 101, COLTON, CA 92324-4624
(909) 370-4400
(909) 370-4405
Mailing address
PO BOX 7438, LAGUNA NIGUEL, CA 92607-7438
(909) 370-4400
(909) 370-4405
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
G77562
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G43151
CA
363AM0700X
Medical Physician Assistant
PA 18333
CA
Other
Enumeration date
08/30/2006
Last updated
05/07/2018
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