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NPI Code Detail

MEDICARE: ADVANCED RADIATION ONCOLOGY SERVICES, MEDICAL CORPORATION

MEDICARE: ADVANCED RADIATION ONCOLOGY SERVICES, MEDICAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QX0203XRadiation Oncology Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3ZZZ43538ZOTHERCAMEDICARE-PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZZ01561ZOTHERCAPTAN
4ZZZ43539ZOTHERCAPTAN
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346215571
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED RADIATION ONCOLOGY SERVICES, MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 7130 N MILLBROOK AVE
Second Line : SUITE 112
City : FRESNO
State : CA
Zip : 93720-3347
Country : US
Telephone Number : 559-450-5530
Fax Number : 559-450-3064
Provider Business Practice Location Address
First Line : 7130 N MILLBROOK AVE
Second Line : SUITE 112
City : FRESNO
State : CA
Zip : 93720-3347
Country : US
Telephone Number : 559-450-5530
Fax Number : 559-450-3064
Authorized Official
Title or Position : PRESIDENT/CEO
Name : LI LIU
Credential : M.D.
Telephone Number : 559-450-5530
Provider Enumeration Date : 02/21/2006
Last Update Date : 11/06/2009

Similar Medicare Providers

1699778399 — DR. DOUGLAS S WONG M.D.
Practice Location Address:
7130 N MILLBROOK AVE
FRESNO, CA
93720-3347
Practice Phone: 559-450-5500
Practice Fax: 559-450-7473
1891789004 — DR. MARSHALL STANLEY FLAM M.D.
Practice Location Address:
7130 N MILLBROOK AVE , SUITE 100
FRESNO, CA
93720-3347
Practice Phone: 559-447-4949
Practice Fax: 559-447-4925
1609860808 — DR. PETER STEPHEN WITTLINGER M.D.
Practice Location Address:
7130 N MILLBROOK AVE , SUITE 100
FRESNO, CA
93720-3347
Practice Phone: 559-447-4949
Practice Fax: 559-447-4925
1669466868 — DR. LEONARD THOMAS HACKETT M.D.
Practice Location Address:
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FRESNO, CA
93720-3347
Practice Phone: 559-326-1222
Practice Fax: 559-326-1225
1063406163 — DR. DAVID JAMES KOSTER M.D.
Practice Location Address:
7130 N MILLBROOK AVE , SUITE 100
FRESNO, CA
93720-3347
Practice Phone: 559-326-1238
Practice Fax: 559-326-1230
1669455390 — JEDIDIAH M MONSON MD
Practice Location Address:
7130 N MILLBROOK AVE
FRESNO, CA
93720-3347
Practice Phone: 559-326-1222
Practice Fax: 559-326-1225
1417927054 — RAVI D RAO MD
Practice Location Address:
7130 N MILLBROOK AVE
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93720-3347
Practice Phone: 559-326-1222
Practice Fax: 559-326-1225

Directions to “ADVANCED RADIATION ONCOLOGY SERVICES, MEDICAL CORPORATION ” Practice Location

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