MEDICARE: ALLIANCE ONCOLOGY OF ALABAMA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician

General Provider Information

NPI Number	:	1013384056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE ONCOLOGY OF ALABAMA LLC

Provider Business Mailing Address
First Line	:	18201 VON KARMAN AVE STE 600
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92612-1176
Country	:	US
Telephone Number	:	949-242-5592
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 S JACKSON HWY
Second Line	:
City	:	SHEFFIELD
State	:	AL
Zip	:	35660-5747
Country	:	US
Telephone Number	:	256-383-5211
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	WILLIAM LARKIN
Credential	:
Telephone Number	:	800-544-3215

Provider Enumeration Date	:	08/25/2015
Last Update Date	:	12/30/2019

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