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General NPI Number Information
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NPI Number | 1255219192
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Entity Type | Organization
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Legal Business Name | CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 12998 HESPERIA RD STE 204
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City | VICTORVILLE
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State | CA
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Zip | 92395-8317
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Country | US
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Telephone | 760-780-4960
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Fax | 760-780-4964
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Provider Business Mailing Address
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Address Line | 1510 E HERNDON AVE STE 310
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City | FRESNO
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State | CA
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Zip | 93720-3393
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Country | US
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Telephone | 559-326-1238
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Fax | 559-326-1230
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEDIDIAH M MONSON
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Credential | MD
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Telephone | 559-326-1238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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