Provider Demographics
NPI:1053402933
Name:ONOCLOGY NETWORK OF ORANGE COUNTY A MEDICAL GROUP INC
Entity type:Organization
Organization Name:ONOCLOGY NETWORK OF ORANGE COUNTY A MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:PADOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-940-1711
Mailing Address - Street 1:1820 W ORANGEWOOD AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2016
Mailing Address - Country:US
Mailing Address - Phone:714-940-0101
Mailing Address - Fax:714-940-0199
Practice Address - Street 1:1140 W LA VETA AVE STE 610
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4228
Practice Address - Country:US
Practice Address - Phone:714-940-0101
Practice Address - Fax:714-940-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty