Vantage Cancer Care - New Mexico, LLC

NPI #1790188688 in Manhattan Beach, California

Provider Information

NPI Number
1790188688
Entity Type
Organization
Organization Name
Vantage Cancer Care - New Mexico, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
VANTAGE CANCER CARE NETWORKS, LLC
Primary Specialty
Internal Medicine - Medical Oncology
Enumeration Date
Oct 6, 2014
Last Updated
Oct 15, 2014

Practice Location

Address
1500 ROSECRANS AVE
Address 2
SUITE 400
ZIP Code
90266-3763
Phone
(310) 335-4000

Authorized Official

Name
MR. STEVEN UDICIOUS, ESQUIRE
Title
VICE PRESIDENT, GENERAL COUNSEL
Phone
(610) 519-0550

Specialties & Taxonomy Codes

Specialty
Radiology - Radiation OncologyRadiation Oncology
Internal Medicine - Medical OncologyMedical Oncology

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