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
1213 E OCEAN AVE STE 100, LOMPOC, CA 93436-7043
(805) 736-8628
(805) 736-8785
Mailing address
100 CASA ST, SUITE C, SAN LUIS OBISPO, CA 93405-1883
(805) 541-1932
(831) 684-7714
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
12/26/2024
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