| Organization Name: | COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC. |
| NPI Number: | 1083644165 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JONATHAN R STELLA (PRESIDENT) |
| Mailing Address: | 1240 S Westlake Blvd Suite 103 Westlake Village |
| State: | CA US |
| Postal Code: | 913611929 |
| Phone Number: | 8054944483 |
| Fax Number: | 8054949555 |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 01/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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. |