NPI 1730111931

Coastal Radiation Oncology Medical Group, INC.

Organisation Radiation Oncology Physician San Luis Obispo, CA

Practice location

Address: 100 Casa St Suite C, San Luis Obispo, CA 93405-1883
Phone: (805) 541-1932
Fax: (805) 541-1653
Mailing address: Dept 9697, Los Angeles, CA 90084-9697

Authorised official

Name: Jonathan R Stella
Title: President
Phone: (805) 541-1932

Registered specialties

Radiation Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X

Other Radiology providers in California →

Registry record

NPI: 1730111931
Entity type: Organization
NPI issued: 7 Jul 2006
Record last updated: 29 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.