Healthcare Provider Details

I. General information

NPI: 1710939962
Provider Name (Legal Business Name): HEMATOLOGY-ONCOLOGY MEDICAL GROUP OF ORANGE COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 12/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 W LA VETA AVE #200
ORANGE CA
92868-4300
US

IV. Provider business mailing address

1010 W LA VETA AVE #200
ORANGE CA
92868-4300
US

V. Phone/Fax

Practice location:
  • Phone: 714-835-1800
  • Fax: 714-835-1811
Mailing address:
  • Phone: 714-835-1800
  • Fax: 714-835-1811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES A PADOVA
Title or Position: PRESIDENT
Credential: MD
Phone: 714-835-1800