MEDICARE: DR. NORBERT KASED M.D.

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	A110689	CA

General Provider Information

NPI Number	:	1639405178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORBERT KASED M.D.

Provider Business Mailing Address
First Line	:	916 SYCAMORE AVE
Second Line	:
City	:	VISTA
State	:	CA
Zip	:	92081-7815
Country	:	US
Telephone Number	:	760-599-9545
Fax Number	:	760-599-9549

Provider Business Practice Location Address
First Line	:	916 SYCAMORE AVE
Second Line	:
City	:	VISTA
State	:	CA
Zip	:	92081-7815
Country	:	US
Telephone Number	:	760-599-9545
Fax Number	:	760-599-9549

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2009
Last Update Date	:	07/22/2013

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