Healthcare Provider Details
I. General information
NPI: 1225514508
Provider Name (Legal Business Name): STARLING ONCOLOGY CA, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/19/2018
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2911 N TENAYA WAY STE 210
LAS VEGAS NV
89128-0464
US
IV. Provider business mailing address
18000 STUDEBAKER RD STE 800
CERRITOS CA
90703-2671
US
V. Phone/Fax
- Phone: 702-342-1244
- Fax: 702-577-2542
- Phone: 562-735-3226
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QX0203X |
| Taxonomy | Radiation Oncology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YALE
PODNOS
Title or Position: CMO, OWNER, PRESIDENT
Credential: MD
Phone: 562-735-3226