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General NPI Number Information
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NPI Number | 1902955818
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Entity Type | Individual
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Provider Name | JAMES MICHAEL MASON MD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 36450 INLAND VALLEY DR
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City | WILDOMAR
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State | CA
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Zip | 92595-9583
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Country | US
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Telephone | 951-696-0679
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Fax | 951-696-9748
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Provider Business Mailing Address
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Address Line | PO BOX 512185
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City | LOS ANGELES
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State | CA
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Zip | 90051-0185
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | G85713
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License Number State | CA
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