California Cancer Care Medical Group
NPI #1033163688 in Modesto, California
Provider Information
- NPI Number
- 1033163688
- Entity Type
- Organization
- Organization Name
- California Cancer Care Medical Group
- Primary Specialty
- Internal Medicine - Hematology & Oncology
- Enumeration Date
- May 19, 2006
- Last Updated
- Feb 11, 2008
Practice Location
- Address
- 1325 MELROSE AVE
- Address 2
- SUITE A
- City
- Modesto
- State
- California
- ZIP Code
- 95350-5508
- Phone
- (209) 524-7000
Authorized Official
- Name
- MR. MUSSA BANISADRE, MD
- Title
- MEDICAL DOCTOR
- Phone
- (209) 524-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Hematology & Oncology — Hematology & Oncology |
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