Provider Demographics
NPI:1508352675
Name:ONCOLOGY PHYSICIANS NETWORK OF CALIFORNIA PC
Entity Type:Organization
Organization Name:ONCOLOGY PHYSICIANS NETWORK OF CALIFORNIA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SRINIDHI
Authorized Official - Middle Name:
Authorized Official - Last Name:VISHWANATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-507-4732
Mailing Address - Street 1:550 N BRAND BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1966
Mailing Address - Country:US
Mailing Address - Phone:818-507-4732
Mailing Address - Fax:818-545-8906
Practice Address - Street 1:550 N BRAND BLVD STE 1000
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1966
Practice Address - Country:US
Practice Address - Phone:818-507-4732
Practice Address - Fax:818-545-8906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty