Healthcare Provider Details

I. General information

NPI: 1306325600
Provider Name (Legal Business Name): HYPERTHERMIA CANCER INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2018
Last Update Date: 08/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 SANTA MONICA BLVD STE 1190W
SANTA MONICA CA
90404-2133
US

IV. Provider business mailing address

2001 SANTA MONICA BLVD STE 1190W
SANTA MONICA CA
90404-2133
US

V. Phone/Fax

Practice location:
  • Phone: 888-580-5900
  • Fax:
Mailing address:
  • Phone: 888-580-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471R0002X
TaxonomyRadiation Therapy Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE ROYAL
Title or Position: BILLING MANAGER
Credential:
Phone: 323-314-5737