Organization
OASIS MEDICAL CENTER,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A J ROGERS M.D. (PRESIDENT)
(909) 370-4400
Entity
Organization
Contact information
Practice address
1550 E WASHINGTON ST, SUITE 101, COLTON, CA 92324-4624
(909) 370-4400
(909) 422-1588
Mailing address
PO BOX 7438, LAGUNA NIGUEL, CA 92607-7438
(909) 370-4400
(909) 422-1588
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00G431511
CA
363AM0700X
Medical Physician Assistant
PA18105
CA
Other
Enumeration date
02/15/2011
Last updated
05/07/2018
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