Provider Demographics
NPI:1336752039
Name:RADIATION ONCOLOGY NETWORK OF SOUTHERN CALIFORNIA
Entity Type:Organization
Organization Name:RADIATION ONCOLOGY NETWORK OF SOUTHERN CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:M
Authorized Official - Last Name:BITTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-783-1253
Mailing Address - Street 1:104 WOODMONT BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-467-7400
Mailing Address - Fax:615-783-1082
Practice Address - Street 1:1410 S LA BRUCHERIE RD STE B
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-9676
Practice Address - Country:US
Practice Address - Phone:760-339-5620
Practice Address - Fax:760-339-5621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation