Organization
GENESISCARE USA OF CALIFORNIA A MEDICAL CORPORATION
Active
Other names
GenesisCare of California A Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
TED LING MD (PRESIDENT)
(239) 931-7254
Entity
Organization
Contact information
Practice address
1316 NELSON AVE, MODESTO, CA 95350-5341
(209) 575-5870
(209) 575-5872
Mailing address
1419 SE 8TH TER STE 200, CAPE CORAL, FL 33990-3213
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1213137
—
CA
01
—
DG9028
RAILROAD MEDICARE
CA
05
—
GR0095354
—
CA
Enumeration date
07/05/2006
Last updated
09/25/2023
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