Healthcare Provider Details

I. General information

NPI: 1033163621
Provider Name (Legal Business Name): RENEWED HOPE RADIATION ONCOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 HOLSER WALK SUITE 305
OXNARD CA
93036-2633
US

IV. Provider business mailing address

1901 HOLSER WALK SUITE 305
OXNARD CA
93036-2633
US

V. Phone/Fax

Practice location:
  • Phone: 805-485-2824
  • Fax: 805-485-4655
Mailing address:
  • Phone: 805-485-2824
  • Fax: 805-485-4655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA46608
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADRIANA SOSA
Title or Position: PRACTICE MANAGER
Credential:
Phone: 805-485-2824