Organization
CENTRAL COAST MEDICAL ONCOLOGY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DICHMANN MD (MEDICAL DIRECTOR)
(805) 349-9393
Entity
Organization
Contact information
Practice address
1325 E CHURCH ST STE 101, SANTA MARIA, CA 93454-5915
(805) 925-2529
(805) 496-2861
Mailing address
1325 E CHURCH ST STE 101, SANTA MARIA, CA 93454-5915
(805) 925-2529
(805) 496-2861
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
A54341
CA
2085R0001X
Radiation Oncology Physician
Primary
G71886
CA
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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