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MOJAVE RADIATION ONCOLOGY MEDICAL GROUP INC. NPI 1407861818


NPI Information

NPI: 1407861818
Provider Name: MOJAVE RADIATION ONCOLOGY MEDICAL GROUP, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
18280 SISKIYOU RD
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 242-1372
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MOJAVE RADIATION ONCOLOGY MEDICAL GROUP, INC. is a specialist in Apple Valley, 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. MOJAVE RADIATION ONCOLOGY MEDICAL GROUP, INC. NPI is 1407861818. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18280 SISKIYOU RD
APPLE VALLEY, CA
ZIP 92307-413
Phone: (760) 242-1372
Fax: (760) 242-1127

The provider's authorized official is Syed Ziaulla .
The authorized official title is Administrator and has the following contact phone number (562) 492-6695.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 4/1/2013.


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
1ZZZ28619ZMEDICARE ID-TYPE UNSPECIFIED
2ZZZ21142ZMEDICARE ID-TYPE UNSPECIFIED
3GR0050110MEDICAIDCALIFORNIA
49673134MEDICAIDCALIFORNIA

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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