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NPI Code Detail

MEDICARE: CENTERPOINT RADIATION ONCOLOGY, INC.

MEDICARE: CENTERPOINT RADIATION ONCOLOGY, INC.
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
12085R0001XRadiation Oncology Physician

General Provider Information

NPI Number : 1083275200
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTERPOINT RADIATION ONCOLOGY, INC.
Provider Business Mailing Address
First Line : 2865 E COAST HWY STE 210
Second Line :
City : CORONA DEL MAR
State : CA
Zip : 92625-2217
Country : US
Telephone Number : 949-999-7894
Fax Number : 949-999-7881
Provider Business Practice Location Address
First Line : 8929 WILSHIRE BLVD STE 100
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-1950
Country : US
Telephone Number : 424-249-7500
Fax Number : 424-249-7609
Authorized Official
Title or Position : PRESIDENT
Name : ROSALYN MORRELL
Credential : MD
Telephone Number : 424-249-7500
Provider Enumeration Date : 06/27/2019
Last Update Date : 07/19/2019

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