Provider Demographics
NPI:1083275200
Name:CENTERPOINT RADIATION ONCOLOGY, INC.
Entity Type:Organization
Organization Name:CENTERPOINT RADIATION ONCOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:424-249-7500
Mailing Address - Street 1:2865 E COAST HWY STE 210
Mailing Address - Street 2:
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-2217
Mailing Address - Country:US
Mailing Address - Phone:949-999-7894
Mailing Address - Fax:949-999-7881
Practice Address - Street 1:8929 WILSHIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1950
Practice Address - Country:US
Practice Address - Phone:424-249-7500
Practice Address - Fax:424-249-7609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-27
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty