Wilshire Oncology Medical Group, Inc.

LBN: Wilshire Oncology Medical Group, Inc.
Wilshire Oncology Medical Group, Inc. is an health care organization with primary practice located at 210 S Grand Ave Suite 425, Glendora CA 91741-4205. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Wilshire Oncology Medical Group, Inc. can be contacted via phone (626) 335-0213, or through Bosserman, Linda Diane via phone (909) 593-4333.

Contact Information

Primary practice address
210 S Grand Ave Suite 425 Glendora CA 91741-4205
Phone: (626) 335-0213
Fax: (626) 335-4041
Website:
Map and Directions
Authorized official contact:
Name: Bosserman, Linda Diane Doctor of Medicine (MD)
Phone: (909) 593-4333

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1487842035
LBN Legal business name Wilshire Oncology Medical Group, Inc.
DBA Doing business as
Authorized official Bosserman, Linda Diane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2007
Last updated Nov 11th, 2009 - about 15 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 1487842035 NPPES
California MEDICAID ZZZ77458Z

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