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WILSHIRE ONCOLOGY MEDICAL GROUP INC. NPI 1376723676


NPI Information

NPI: 1376723676
Provider Name: WILSHIRE ONCOLOGY MEDICAL GROUP, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
935 S SUNSET AVE
WEST COVINA, CA
ZIP 91790
Phone: (626) 960-5581
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WILSHIRE ONCOLOGY MEDICAL GROUP, INC. is a specialist in West Covina, CA. The provider is 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. WILSHIRE ONCOLOGY MEDICAL GROUP, INC. NPI is 1376723676. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

935 S SUNSET AVE
WEST COVINA, CA
ZIP 91790-408
Phone: (626) 960-5581
Fax: (626) 960-0881

The provider's authorized official is Linda Diana Bosserman .
The authorized official title is President and has the following contact phone number (909) 593-4333.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 5/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W3296BMEDICARE PINCALIFORNIA
2ZZZ83087ZMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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