| Organization Name: | VANTAGE CANCER CARE NETWORK OF CALIFORNIA |
| NPI Number: | 1013310994 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LESLIE E. BOTNICK (PRESIDENT) |
| Mailing Address: | 1500 Rosecrans Ave Suite 400 Manhattan Beach |
| State: | CA US |
| Postal Code: | 902663763 |
| Phone Number: | 3103354000 |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2014 |
| NPI Last Update Date: | 10/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |