Healthcare Provider Details

I. General information

NPI: 1457486433
Provider Name (Legal Business Name): NORTH COUNTY ONCOLOGY MEDICAL CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 03/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3617 VISTA WAY
OCEANSIDE CA
92056-4522
US

IV. Provider business mailing address

3617 VISTA WAY
OCEANSIDE CA
92056-4522
US

V. Phone/Fax

Practice location:
  • Phone: 760-758-5770
  • Fax: 760-721-8597
Mailing address:
  • Phone: 760-758-5770
  • Fax: 760-721-8597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: WARREN STEVEN PAROLY
Title or Position: PRESIDENT
Credential: MD
Phone: 760-758-5770