Organization
MEMORIAL RADIATION ONCOLOGY MEDICAL GROUP
Active
Other names
saddleback radiation oncology medical group
Organization subpart
No
Provider details
NPI number
Authorized official
AJMEL PUTHAWALA M.D. (PARTNER)
(562) 492-6695
Entity
Organization
Contact information
Practice address
24953 PASEO DE VALENCIA, LAGUNA HILLS, CA 92653-4342
(562) 492-6695
(562) 988-0389
Mailing address
2650 ELM AVE, 201, LONG BEACH, CA 90806-1651
(562) 492-6695
(562) 988-0389
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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