Organization
COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC.
Active
Other names
Coastal Radiation Oncology Medical Group
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
2985 SYCAMORE DR, SIMI VALLEY, CA 93065-1201
(805) 584-6611
(805) 584-0530
Mailing address
100 CASA ST STE C, SAN LUIS OBISPO, CA 93405-8804
(805) 541-1932
(805) 541-1653
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
01/02/2020
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