MEDICARE: CANCER CARE ASSOCIATES MEDICAL GROUP 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
1	291U00000X	Clinical Medical Laboratory		CA

General Provider Information

NPI Number	:	1104813187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANCER CARE ASSOCIATES MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	514 N PROSPECT AVE
Second Line	:	4TH FLOOR
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-3040
Country	:	US
Telephone Number	:	310-750-3300
Fax Number	:	310-750-3381

Provider Business Practice Location Address
First Line	:	514 N PROSPECT AVE
Second Line	:	4TH FLOOR
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-3040
Country	:	US
Telephone Number	:	310-750-3300
Fax Number	:	310-750-3381

Authorized Official
Title or Position	:	CO OWNER PRESIDENT
Name	:	DAVID CHAN
Credential	:	MD
Telephone Number	:	310-750-3300

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1649269465 — NORA CHIEN YEE KU MD
Practice Location Address:

514 N PROSPECT AVE , 4TH FLOOR
REDONDO BEACH, CA
90277-3040

Practice Phone: 310-750-3300
Practice Fax: 310-750-3381

1033108923 — CANCER CARE ASSOCIATES MEDICAL GROUP INC
Practice Location Address:

514 N PROSPECT AVE , 4TH FLOOR
REDONDO BEACH, CA
90277-3040

Practice Phone: 310-750-3300
Practice Fax: 310-750-3381

1386849974 — ANDREW GABRIEL HORODNER M.D.
Practice Location Address:

514 N PROSPECT AVE FL 4
REDONDO BEACH, CA
90277-3040

Practice Phone: 310-750-3300
Practice Fax:

1962803296 — LILIANA ARANA
Practice Location Address:

514 N PROSPECT AVE STE 400
REDONDO BEACH, CA
90277-3040

Practice Phone: 310-374-5706
Practice Fax:

1639949191 — VENICE FAMILY CLINIC
Practice Location Address:

514 N PROSPECT AVE STE 400
REDONDO BEACH, CA
90277-3040

Practice Phone: 310-392-8636
Practice Fax:

1457158503 — KERIANNE ELIZABETH BRINEGAR LAWSON LCSW
Practice Location Address:

514 N PROSPECT AVE FL 4
REDONDO BEACH, CA
90277-3040

Practice Phone: 310-374-3426
Practice Fax:

Directions to “CANCER CARE ASSOCIATES MEDICAL GROUP INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.