Provider Demographics
NPI:1336283811
Name:NEW HOPE CANCER AND RESEARCH INSTITUTE A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:NEW HOPE CANCER AND RESEARCH INSTITUTE A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D. - F.A.C.P., F.A.C.E.S
Authorized Official - Prefix:
Authorized Official - First Name:VANDANA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-620-5502
Mailing Address - Street 1:350 VINTON AVE POMONA
Mailing Address - Street 2:SUITE 101
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767
Mailing Address - Country:US
Mailing Address - Phone:909-620-5502
Mailing Address - Fax:909-629-0552
Practice Address - Street 1:350 VINTON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767
Practice Address - Country:US
Practice Address - Phone:909-620-5502
Practice Address - Fax:909-629-0552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RH0003X
CAA41760207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4897038OtherMEDICAL
CA4897038OtherMEDICAL
CAW151862Medicare UPIN