Organization · Type 2 NPI

Genesiscare USA of California A Medical Corporation

Radiation Oncology Physician · Modesto, CA

NPI number 1881624583 Active

Practice location

1316 Nelson Ave
Modesto, CA 95350-5341

Call (209) 575-5870 Map

Fax (209) 575-5872

Mailing address

1419 SE 8th Ter Ste 200
Cape Coral, FL 33990-3213

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Physician Primary	2085R0001X	None 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.

4 other providers at this address

Other radiation oncology physician providers in Modesto

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NPI record

NPI: 1881624583
Entity type: Organization (Type 2)
Issued: Jul 5, 2006
Last updated: Sep 25, 2023
Status: Active

Other names

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Genesiscare of California A Medical Corporation · doing business as
Genesiscare of California A Medical Corporation · doing business as

Authorized official

Ted Ling, MD
President
(239) 931-7254

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881624583

Genesiscare USA of California A Medical Corporation's National Provider Identifier is 1881624583, issued on Jul 5, 2006. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Modesto, CA. The record was last updated on Sep 25, 2023.