Healthcare Provider Details

I. General information

NPI: 1609926591
Provider Name (Legal Business Name): USC RADIATION ONCOLOGY ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 EASTLAKE AVE USC RADIATION ONCOLOGY NOR G356
LOS ANGELES CA
90089-0112
US

IV. Provider business mailing address

PO BOX 31169
LOS ANGELES CA
90031-0169
US

V. Phone/Fax

Practice location:
  • Phone: 323-865-3072
  • Fax: 323-865-3037
Mailing address:
  • Phone: 323-865-3072
  • Fax: 323-865-3037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PARVESH KUMAR
Title or Position: PRESIDENT
Credential: M.D.
Phone: 323-865-3072