Valley Radiotherapy Associates Medical Group Inc

LBN: Valley Radiotherapy Associates Medical Group Inc
Valley Radiotherapy Associates Medical Group Inc is an health care organization with primary practice located at 1500 Rosecrans Ave 400, Manhattan Beach CA 90266-3763. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Valley Radiotherapy Associates Medical Group Inc can be contacted via phone (310) 335-4056, or through Botnick, Leslie E via phone (310) 335-4065.

Contact Information

Primary practice address
1500 Rosecrans Ave 400 Manhattan Beach CA 90266-3763
Fax:
Website:
Authorized official contact:
Name: Botnick, Leslie E Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1437102092
LBN Legal business name Valley Radiotherapy Associates Medical Group Inc
DBA Doing business as
Authorized official Botnick, Leslie E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Mar 6th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437102092 NPPES
California Other CH4367 RR MEDICARE ST. JUDE
California MEDICAID GR0013797 RR MEDICARE ST. JUDE
California MEDICAID GR0013798 RR MEDICARE ST. JUDE
California MEDICAID GR0013792 RR MEDICARE ST. JUDE
California MEDICAID GR0013793 RR MEDICARE ST. JUDE
California MEDICAID GR001379A RR MEDICARE ST. JUDE
California MEDICAID GR0013791 RR MEDICARE ST. JUDE
California MEDICAID GR0013794 RR MEDICARE ST. JUDE
California MEDICAID GR0013796 RR MEDICARE ST. JUDE
California Other CJ5668 RR MEDICARE ST. JUDE
California MEDICAID GR001379C RR MEDICARE ST. JUDE
California MEDICAID GR001379F RR MEDICARE ST. JUDE
California Other CR0476 RR MEDICARE ST. JUDE
California MEDICAID GR001379E RR MEDICARE ST. JUDE
California Other CP3272 RR MEDICARE ST. JUDE
California Other DD9966 RR MEDICARE ST. JUDE
California MEDICAID GR0013790 RR MEDICARE ST. JUDE
California MEDICAID GR0013799 RR MEDICARE ST. JUDE
California MEDICAID GR001379B RR MEDICARE ST. JUDE
California MEDICAID GR001379D RR MEDICARE ST. JUDE

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