Organization
OCEAN RADIATION ONCOLOGY MEDICAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S KWON M.D. (PRESIDENT)
(562) 799-3198
Entity
Organization
Contact information
Practice address
3951 KATELLA AVE, SUITE 102, LOS ALAMITOS, CA 90720-3303
(562) 799-3198
(562) 799-3509
Mailing address
3951 KATELLA AVE, SUITE 102, LOS ALAMITOS, CA 90720-3303
(562) 799-3198
(562) 799-3509
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
FNP37709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A639980
—
CA
Enumeration date
07/29/2008
Last updated
07/29/2008
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