Organization Name: | LOMA LINDA UNIVERSITY RADIATION MEDICINE |
NPI Number: | 1134175052 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERRY SLATER (PRESIDENT) |
Mailing Address: | 1517 North Downs St Ridgecrest |
State: | CA US |
Postal Code: | 93555 |
Phone Number: | 7604467714 |
Fax Number: | 9095583905 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/08/2007 |
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. |