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MEMORIAL RADIATION ONCOLOGY MEDICAL NPI 1306267380


NPI Information

NPI: 1306267380
Provider Name: MEMORIAL RADIATION ONCOLOGY MEDICAL
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

CLIA Number: 05D0682507

Address:
24302 PASEO DE VALENCIA
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 452-8880
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MEMORIAL RADIATION ONCOLOGY MEDICAL is a radiation oncology radiology in Laguna Hills, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. MEMORIAL RADIATION ONCOLOGY MEDICAL NPI is 1306267380. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24302 PASEO DE VALENCIA
LAGUNA HILLS, CA
ZIP 92653-115
Phone: (949) 452-8880
Fax: (949) 859-5980

The provider's authorized official is Asif R. Harsolia .
The authorized official title is Md/authorized Official and has the following contact phone number (562) 492-6695.

The CLIA number assigned to this NPI record is 05D0682507 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2013 and was last updated on 2/22/2023.


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
12085R0001XRadiologyRadiation OncologyYes

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: 4/28/2024

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