Healthcare Provider Details

I. General information

NPI: 1609526623
Provider Name (Legal Business Name): INTERVENTIONAL RADIATION ONCOLOGY OF CALIFORNIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18092 WIKA RD STE 140
APPLE VALLEY CA
92307-2132
US

IV. Provider business mailing address

PO BOX 10297
BAKERSFIELD CA
93389-0297
US

V. Phone/Fax

Practice location:
  • Phone: 760-503-5910
  • Fax: 760-242-8577
Mailing address:
  • Phone: 408-963-5500
  • Fax: 408-963-5501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RIZWAN NURANI
Title or Position: PRESIDENT
Credential: MD
Phone: 650-485-9882