Provider Demographics
NPI:1407915580
Name:BMS PHYSICIAN PRACTICE
Entity Type:Organization
Organization Name:BMS PHYSICIAN PRACTICE
Other - Org Name:MEDICAL ONCOLOGY CARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-541-6622
Mailing Address - Street 1:1140 W LA VETA AVE
Mailing Address - Street 2:SUITE 430
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4223
Mailing Address - Country:US
Mailing Address - Phone:714-541-6622
Mailing Address - Fax:714-541-0531
Practice Address - Street 1:1140 W LA VETA AVE
Practice Address - Street 2:SUITE 430
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4223
Practice Address - Country:US
Practice Address - Phone:714-541-6622
Practice Address - Fax:714-541-0531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies