Organization
VALLEY RADIOTHERAPY ASSOCIATES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE E BOTNICK MD (CEO)
(310) 335-4065
Entity
Organization
Contact information
Practice address
5529 RESEDA BLVD, TARZANA, CA 91356-2611
(818) 774-2860
(818) 774-2869
Mailing address
PO BOX 10050, MANHATTAN BEACH, CA 90267-7550
(310) 335-4056
(310) 335-4098
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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