NPI | 1205115128 |
---|---|
Former Legal Business Name | EAST BAY CANCER CENTER |
Entity Type | Organization |
Authorized Contact | ANGELIE P. DURANO Manager 510-548-1717 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G713630) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G713950) |
Enumeration Date | 2011-08-09 |
Last Update Date | 2011-08-17 |