OrganizationActive
Vantage Cancer Care - Alabama, LLC
NPI 1669874004 · Medical Oncology Physician · Daphne, AL
Provider details
- NPI number
- 1669874004
- Entity type
- Organization
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Vantage Cancer Care Networks, LLC
- Authorized official
- Steven Udicious, Vice President, General Counsel
Mailing address
1500 Rosecrans Ave
Manhattan Beach, CA 90266-3763
Registry dates
- Enumerated
- 2014-09-17
- Last updated
- 2014-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.