Wilshire Oncology Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WILSHIRE ONCOLOGY MEDICAL GROUP, INC.

Practice address

935 S Sunset Ave
West Covina, CA 91790-3408

Phone

(626) 960-5581

Fax

(626) 960-0881

NPI assigned

Nov 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Linda Diana Bosserman, MD

Title

President

Phone

(909) 593-4333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1376723676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 ARROW HWY",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505318",
            "telephone_number": "909-593-4333",
            "fax_number": "909-593-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 S SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903408",
            "telephone_number": "626-960-5581",
            "fax_number": "626-960-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE ONCOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "BOSSERMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-593-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ83087Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Treneta Loraine Wilkes
• Betty Williams
• Cayla Williams
• William Tenere Williams, MD
• Adelaide Willis, MD
• Wilshire Oncology Medical Group, Inc.
• Mary Jane Lim Wilson, FNP
• Sone-Seere A Wilson, MD
• Samuel Winkler
• Christopher Emmanuel Wissar Sr., MD

• Specialist in West Covina, CA
• Providers in West Covina, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.