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General NPI Number Information
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NPI Number | 1962464586
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Entity Type | Organization
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Legal Business Name | RADIATION ONCOLOGY ASSOCIATES MEDICAL GROUP, INC. DBA. ONCOLOGY CARE P
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 7257 N FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93720-2950
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Country | US
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Telephone | 559-447-4050
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 28911
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City | FRESNO
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State | CA
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Zip | 93729-8911
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Country | US
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Telephone | 559-228-4200
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. BRENT L. KANE
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Credential | M.D.
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Telephone | 559-447-4050
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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 | G45487
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License Number State | CA
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