Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCSD Radiation Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN CASEY SANDACK (CHIEF BUS DEV & ADMIN OFC)
(858) 246-6050
Entity
Organization
Contact information
Practice address
1200 GARDEN VIEW RD, SUITE 210, ENCINITAS, CA 92024-2477
(858) 246-0500
(858) 246-0501
Mailing address
PO BOX 30590, LOS ANGELES, CA 90030-0590
(858) 246-0500
(858) 246-0501
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548419526
—
CA
Enumeration date
09/15/2008
Last updated
08/01/2024
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