Organization · Type 2 NPI

Memorial Radiation Oncology Medical

Radiation Oncology Physician · Fountain Valley, CA

NPI number 1639509706 Active

Practice location

18111 Brookhurst St, Suite LL0300
Fountain Valley, CA 92708-6728

Fax (714) 963-7600

Mailing address

PO Box 844945
Los Angeles, CA 90084-4945

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician Primary 2085R0001XNone listed

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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About NPI 1639509706

Memorial Radiation Oncology Medical's National Provider Identifier is 1639509706, issued on Nov 26, 2013. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Fountain Valley, CA. The record was last updated on Oct 15, 2025.