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General NPI Number Information
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NPI Number | 1427101229
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Entity Type | Organization
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Legal Business Name | WHITTIER ONCOLOGY MEDICAL CLINIC, INC.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 12393 WASHINGTON BLVD
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City | WHITTIER
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State | CA
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Zip | 90606-2502
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Country | US
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Telephone | 562-696-5964
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Fax | 562-693-6940
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Provider Business Mailing Address
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Address Line | 12393 WASHINGTON BLVD
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City | WHITTIER
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State | CA
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Zip | 90606-2502
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Country | US
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Telephone | 562-696-5964
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Fax | 562-464-5120
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN DIAO
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Credential | MD
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Telephone | 562-696-5964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number | G56388
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number | G62716
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License Number State | CA
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