05D0571469 CLIA NUMBER - SAN DIEGO ONCOLOGY MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 05D0571469

Facility Name: SAN DIEGO ONCOLOGY MEDICAL CLINIC

Facility Address:
7930 FROST ST STE 405
SAN DIEGO, CA
ZIP 92123
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Facility Phone Number: (858) 571-2811

Facility Type: PHYSICIAN OFFICE

Certificate Type: Accreditation

NPI Number: 1871844522

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	05D0571469
LAB Type	PHYSICIAN OFFICE
Facility Name	SAN DIEGO ONCOLOGY MEDICAL CLINIC
Street	7930 FROST ST STE 405
City	SAN DIEGO
State	CA
ZIP	92123
Phone	(858) 571-2811

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This page was last updated on: 5/11/2023