Provider Demographics
NPI:1609526623
Name:INTERVENTIONAL RADIATION ONCOLOGY OF CALIFORNIA INC
Entity type:Organization
Organization Name:INTERVENTIONAL RADIATION ONCOLOGY OF CALIFORNIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RIZWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NURANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-485-9882
Mailing Address - Street 1:PO BOX 10297
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-0297
Mailing Address - Country:US
Mailing Address - Phone:408-963-5500
Mailing Address - Fax:408-963-5501
Practice Address - Street 1:18092 WIKA RD STE 140
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2132
Practice Address - Country:US
Practice Address - Phone:760-503-5910
Practice Address - Fax:760-242-8577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty