| Radiation Oncology Associates | |
|
2440 E South St Long Beach CA 90805-4426 | |
| (562) 633-0836 | |
| (562) 633-8345 |
| Full Name | Radiation Oncology Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 2440 E South St, Long Beach, California |
| Authorized Official Name and Position | Sulabha A Dave (MEDICAL DOCTOR) |
| Authorized Official Contact | 5626330836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiation Oncology Associates 2440 E South St Long Beach CA 90805-4426 Ph: (562) 633-0836 | Radiation Oncology Associates 2440 E South St Long Beach CA 90805-4426 Ph: (562) 633-0836 |
| NPI Number | 1619162302 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 07/07/2008 |
| Medicare PECOS PAC ID | 7315962545 |
|---|---|
| Medicare Enrollment ID | O20051006001017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619162302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A30598 (California) | Primary |
| Provider Name | Sulabha A Dave |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821191446 PECOS PAC ID: 8224053467 Enrollment ID: I20051007000465 |
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