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General NPI Number Information
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NPI Number | 1609926591
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Entity Type | Organization
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Legal Business Name | USC RADIATION ONCOLOGY ASSOCIATES, INC.
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 1441 EASTLAKE AVE USC RADIATION ONCOLOGY NOR G356
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City | LOS ANGELES
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State | CA
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Zip | 90089-0112
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Country | US
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Telephone | 323-865-3072
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Fax | 323-865-3037
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Provider Business Mailing Address
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Address Line | PO BOX 31169
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City | LOS ANGELES
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State | CA
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Zip | 90031-0169
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Country | US
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Telephone | 323-865-3072
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Fax | 323-865-3037
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PARVESH KUMAR
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Credential | M.D.
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Telephone | 323-865-3072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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