NPI: 1730111931
Provider Name: COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC.
Doing Business As: SAN LUIS RADIATION ONCOLOGY MEDICAL CENTER, INC.
Classification: Radiology - 2085R0001X
Entity Type: Organization
Specialization: Radiation Oncology
Address:
100 CASA ST
SUITE C
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 541-1932
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COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. is a radiation oncology radiology in San Luis Obispo, 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. COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. NPI is 1730111931. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As San Luis Radiation Oncology Medical Center, Inc..
The provider's business location address is:
100 CASA ST
SUITE C
SAN LUIS OBISPO, CA
ZIP 93405-883
Phone: (805) 541-1932
Fax: (805) 541-1653
The provider's authorized official is Jonathan R Stella .
The authorized official title is President and has the following contact phone number (805) 541-1932.
The enumeration date for this NPI number is 7/7/2006 and was last updated on 1/29/2008.