La Jolla Radiology Medical Group Therapy, INC
NPI #1023185428 in La Jolla, California
Provider Information
- NPI Number
- 1023185428
- Entity Type
- Organization
- Organization Name
- La Jolla Radiology Medical Group Therapy, INC
- Primary Specialty
- Clinic/Center - Oncology, Radiation
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Feb 1, 2008
Practice Location
- Address
- 9888 GENESEE AVE
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1205
- Phone
- (760) 599-9545
Authorized Official
- Name
- ELIZABETH BOURBEAU
- Title
- MANAGER
- Phone
- (760) 599-9545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oncology, Radiation — Oncology, Radiation |
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