is a Oncology, Radiation in Fremont, California. practices all healthcare services and medical treatments related to Oncology, Radiation. The NPI Number for is 1508817115. The last update date is .
's current location address is 39101 Civic Center Dr, Fremont, California. You can contact this provider via phone number 5107967212 and fax number 5107456469. The mailing address for is 39101 Civic Center Dr, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 39101 Civic Center Dr, Fremont, California |
| Phone Number | 5107967212 |
| Fax Number | 5107456469 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1508817115 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 39101 Civic Center Dr |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945385817 |
| Phone Number | 5107967212 |
| Fax Number | 5107456469 |
Provider's Primary Taxonomy Detail
| Speciality | Oncology, Radiation |
|---|---|
| Taxonomy | 261Qx0203X |
|
Definition: Uses high energy radiation to treat cancer. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ95438Z | CA | BLUE SHIELD OF CALIFORNIA | |
| GR0019200 | CA | -- |
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