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Cancer Center Oncology Medical Group, Inc-east County
Specialist in La Mesa, California
NPI 1497737183

Cancer Center Oncology Medical Group, Inc-east County is a Specialist based in La Mesa, CA. Cancer Center Oncology Medical Group, Inc-east County practices in La Mesa, CA. The NPI Number for Cancer Center Oncology Medical Group, Inc-east County is 1497737183 and holds a License No. G26407 (California).

The current practice location address for Cancer Center Oncology Medical Group, Inc-east County is 5555 Grossmont Center Dr, La Mesa, CA and can be reached out via phone at 619-644-3030 and via fax at 619-644-3638.

Location: 5555 Grossmont Center Dr, La Mesa, CA, 91942-3019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497737183
Provider Name
Cancer Center Oncology Medical Group, Inc-east County
Credential
Provider Entity Type
Organization
Address
5555 Grossmont Center Dr, La Mesa, CA, 91942-3019
Phone Number
619-644-3030
Fax Number
619-644-3638
Provider Enumeration Date
11/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ40281Z 01 CA GROUP BLUE SHIELD
GR0057640 05 CA
institution
Provider Business Practice Location Address Details
Address
5555 Grossmont Center Dr
City
La Mesa
State
California
Zip
91942-3019
Phone Number
619-644-3030
Fax Number
619-644-3638
person
Provider Business Mailing Address Details
Address
5555 Grossmont Center Dr
City
La Mesa
State
California
Zip
91942-3019
Phone Number
619-644-3030
Fax Number
619-644-3638
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G26407 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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