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WILSHIRE ONCOLOGY MEDICAL GROUP INC NPI 1649515750


NPI Information

NPI: 1649515750
Provider Name: WILSHIRE ONCOLOGY MEDICAL GROUP INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1280 CORONA POINTE CT
SUITE 112
CORONA, CA
ZIP 92879
Phone: (951) 898-2828
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WILSHIRE ONCOLOGY MEDICAL GROUP INC is a specialist in Corona, 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 1649515750. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1280 CORONA POINTE CT
SUITE 112
CORONA, CA
ZIP 92879-770
Phone: (951) 898-2828
Fax: (951) 898-2811

The provider's authorized official is Linda D 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 11/29/2012 and was last updated on 11/29/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

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: 5/5/2024

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