Organization
COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M RODNICK M.D. (PRESIDENT)
(805) 648-5191
Entity
Organization
Contact information
Practice address
2900 LOMA VISTA RD, 100, VENTURA, CA 93003-2920
(805) 648-5191
(805) 648-3458
Mailing address
2900 LOMA VISTA RD, 100, VENTURA, CA 93003-2907
(805) 648-5191
(805) 648-3458
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ42913Z
—
CA
Enumeration date
07/04/2006
Last updated
06/03/2025
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