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COASTAL RADIATION ONCOLOGY MEDICAL GROUP INC. NPI 1922038173


NPI Information

NPI: 1922038173
Provider Name: COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC.
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
100 CASA ST
SUITE C
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 547-2252
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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 1922038173. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 CASA ST
SUITE C
SAN LUIS OBISPO, CA
ZIP 93405-883
Phone: (805) 547-2252
Fax: (805) 547-2253

The provider's authorized official is Jeffrey M. Rodnick .
The authorized official title is President and has the following contact phone number (208) 437-2114.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 5/9/2022.


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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