Organization
CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEDIDIAH MONSON M.D. (OWNER)
(615) 252-7212
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE STE 560, LA JOLLA, CA 92037
(858) 552-1410
Mailing address
104 WOODMONT BLVD STE 500, NASHVILLE, TN 37205-2245
(615) 252-7212
(559) 421-7004
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A69490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5642839
NCPDP NUMBER
CA
Enumeration date
01/26/2012
Last updated
05/10/2022
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