NPI | 1538300660 |
---|---|
Doing Business As | EL PORTAL MEDICAL ONCOLOGY CENTER |
Entity Type | Organization |
Authorized Contact | REBECCA SHAW CEO 209-723-1920 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0200X Clinic/Center, Oncology |
Enumeration Date | 2009-03-19 |
Last Update Date | 2014-07-15 |