Provider Demographics
NPI:1609926591
Name:USC RADIATION ONCOLOGY ASSOCIATES, INC.
Entity Type:Organization
Organization Name:USC RADIATION ONCOLOGY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PARVESH
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-865-3072
Mailing Address - Street 1:PO BOX 31169
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-0169
Mailing Address - Country:US
Mailing Address - Phone:323-865-3072
Mailing Address - Fax:323-865-3037
Practice Address - Street 1:1441 EASTLAKE AVE
Practice Address - Street 2:USC RADIATION ONCOLOGY NOR G356
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0112
Practice Address - Country:US
Practice Address - Phone:323-865-3072
Practice Address - Fax:323-865-3037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0061770Medicaid
CAGR0061770Medicaid