Wilshire Oncology Medical Group, Inc.

NPI #1487842035 in Glendora, California

Provider Information

NPI Number: 1487842035
Entity Type: Organization
Organization Name: Wilshire Oncology Medical Group, Inc.
Primary Specialty: Specialist
Enumeration Date: Oct 9, 2007
Last Updated: Nov 11, 2009

Practice Location

Address: 210 S GRAND AVE
Address 2: SUITE 425
City: Glendora
State: California
ZIP Code: 91741-4205
Phone: (626) 335-0213

Authorized Official

Name: DR. LINDA DIANE BOSSERMAN, MD
Title: PRESIDENT
Phone: (909) 593-4333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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