Provider Demographics
NPI:1689196719
Name:THE ONCOLOGY INSTITUTE CA, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:THE ONCOLOGY INSTITUTE CA, A PROFESSIONAL CORPORATION
Other - Org Name:THE ONCOLOGY INSTITUTE OF HOPE AND INNOVATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CMO, OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YALE
Authorized Official - Middle Name:
Authorized Official - Last Name:PODNOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-735-3226
Mailing Address - Street 1:18000 STUDEBAKER RD STE 800
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-2679
Mailing Address - Country:US
Mailing Address - Phone:562-735-3226
Mailing Address - Fax:562-869-1281
Practice Address - Street 1:1707 W SAINT MARYS RD STE 275
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2629
Practice Address - Country:US
Practice Address - Phone:520-276-2270
Practice Address - Fax:520-585-5827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-11
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty