NORTH COUNTY RADIATION ONCOLOGY NPI 1770581183

NPI Information

NORTH COUNTY RADIATION ONCOLOGY is a specialist in Encinitas, 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. NORTH COUNTY RADIATION ONCOLOGY NPI is 1770581183. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pacific Radiation Oncology Medical Group Of San Diego.

The provider's business location address is:

477 N EL CAMINO REAL
STE D100
ENCINITAS, CA
ZIP 92024-328
Phone: (760) 634-4300
Fax: (760) 632-9791

The provider's authorized official is Elizabeth Bourbeau .
The authorized official title is Manager and has the following contact phone number (760) 599-9545.

The CLIA number assigned to this NPI record is 05D2053204 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2005 and was last updated on 10/25/2012.

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:

Other Identifiers

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