V. VONGTAMA, M.D., INC.
Radiology at A St, Hayward, CA

License number
California A29753
Category
Radiology
Type
Radiation Oncology
Owner
Name: DR. VITUNE VONTAMA MD
Title: OWNER
Phone: (949) 721-6533
Address
Address 2
1034 A St, Hayward, CA 94541
4722 Quail Lakes Dr, Stockton, CA 95207
National Provider ID: 1366620874
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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V. VONGTAMA, M.D., INC

4722 Quail Lk Dr, Stockton, CA 95207

Industry:
Medical Doctor's Office
Doing business as:
V Vongtama MD Inc
Registration:
Apr 9, 2004
State ID:
C2645113
Business type:
Articles of Incorporation
Owners:
Vitune Vongtama (Medical Doctor, Owner),V. Vongtama (President),Dan Vongtama Owner, inactive
Agent:
V Vongtama,Stockton, CA 95207 (Physical)

V. Vongtama, M.D., Inc

Modesto, CA  -  Hayward, CA

Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Doing business as:
East Bay Regional Cancer Ctr
Addresses:
1101 Sylvan Ave, Modesto, CA 95350
1034 A St, Hayward, CA 94541
Owner:
Vitune Vontama (Owner)

V. VONGTAMA, M.D., INC

4722 Quail Lk Dr, Stockton, CA 95207

Registration:
Apr 9, 2004
State ID:
C2645113
Business type:
Articles of Incorporation
President:
V. Vongtama (President)
Agent:
V Vongtama,Stockton, CA 95207 (Physical)

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