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NPI Code Detail

MEDICARE: WHITTIER ONCOLOGY MEDICAL CLINIC, INC.

MEDICARE: WHITTIER ONCOLOGY MEDICAL CLINIC, 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
1261QX0203XRadiation Oncology Clinic/CenterG56388CA
2261QX0203XRadiation Oncology Clinic/CenterG62716CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ZZZ72741ZOTHERCABLUE SHIELD

General Provider Information

NPI Number : 1427101229
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHITTIER ONCOLOGY MEDICAL CLINIC, INC.
Provider Business Mailing Address
First Line : 12393 WASHINGTON BLVD
Second Line :
City : WHITTIER
State : CA
Zip : 90606-2502
Country : US
Telephone Number : 562-696-5964
Fax Number : 562-693-6940
Provider Business Practice Location Address
First Line : 12393 WASHINGTON BLVD
Second Line :
City : WHITTIER
State : CA
Zip : 90606-2502
Country : US
Telephone Number : 562-696-5964
Fax Number : 562-693-6940
Authorized Official
Title or Position : PRESIDENT, TREASURER
Name : DR. WILLIAM S KUROHARA
Credential : M.D.
Telephone Number : 562-696-5964
Provider Enumeration Date : 01/18/2007
Last Update Date : 12/08/2011

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