institution
Coastal Radiation Oncology Medical Group, Inc.
Radiation Oncology Physician in San Luis Obispo, California
NPI 1730111931

Coastal Radiation Oncology Medical Group, Inc. is a Radiation Oncology Physician based in Los Angeles, CA and is specialized in Radiation Oncology. Coastal Radiation Oncology Medical Group, Inc. practices in San Luis Obispo, CA. The NPI Number for Coastal Radiation Oncology Medical Group, Inc. is 1730111931 and holds a License No. (California).

The current practice location address for Coastal Radiation Oncology Medical Group, Inc. is 100 Casa St, San Luis Obispo, CA and can be reached out via phone at 805-541-1932 and via fax at 805-541-1653.

Location: 100 Casa St, San Luis Obispo, CA, 90084-9697
institution
Provider Profile Details
NPI Number
1730111931
Provider Name
Coastal Radiation Oncology Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
100 Casa St, San Luis Obispo, CA, 90084-9697
Phone Number
805-541-1932
Fax Number
805-541-1653
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0005751 05 CA
institution
Provider Business Practice Location Address Details
Address
100 Casa St
City
State
Zip
93405-1883
Phone Number
805-541-1932
Fax Number
805-541-1653
person
Provider Business Mailing Address Details
Address
100 Casa St
City
State
Zip
93405-1883
Phone Number
805-541-1932
Fax Number
805-541-1653
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
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Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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