Provider Demographics
NPI:1356229694
Name:ACCESS CANCER SERVICES
Entity type:Organization
Organization Name:ACCESS CANCER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PARTNER
Authorized Official - Phone:949-922-1970
Mailing Address - Street 1:1308 E 900 S UNIT 1B
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-8729
Mailing Address - Country:US
Mailing Address - Phone:949-922-1970
Mailing Address - Fax:
Practice Address - Street 1:1308 E 900 S UNIT 1B
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-8729
Practice Address - Country:US
Practice Address - Phone:949-922-1970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty