BEVERLY ONCOLOGY & IMAGING CENTER MEDICAL GR (NPI# 1679760227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679760227 |
| Entity Type | Organization |
| Organization Name | BEVERLY ONCOLOGY & IMAGING CENTER MEDICAL GR |
| Practice Address |
12555 Garden Grove Blvd Suite 101 Garden Grove CA 92843-1902 |
| Mailing Address |
200 E Beverly Blvd Suite 200 Montebello CA 90640-7001 |
| Practice Telephone | 7145305930 |
| Practice Fax Number | 7145305675 |
| Mailing Telephone | 3235179800 |
| Mailing Fax Number | 3237277574 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2017-05-05 |
| Authorized Official Name | RUTH LOPEZ NOVODOR (CEO) |
| Authorized Official Telephone | 3235179800 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEVERLY ONCOLOGY & IMAGING CENTER MEDICAL GR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396932943 | Beverly Oncology & Imaging Center Medical Gr | Radiology | 80 S Palm Ave, Alhambra, CA 91801-3101 | 2007-09-27 |
| 1740350354 | Beverly Oncology & Imaging Center Medical Gr | Radiology | 120 W Beverly Blvd, Montebello, CA 90640-4305 | 2006-11-09 |
| Street Address |
12555 GARDEN GROVE BLVD SUITE 101 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682401 | Julie Hwynn | Internal Medicine | 12555 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1902 | 2005-07-07 |
| 1649713777 | Socal Pharmacy Inc. | Pharmacy | 12555 Garden Grove Blvd, Suite 102, Garden Grove, CA 92843-1902 | 2016-11-21 |
| 1518332980 | Fresenius Medical Care Orange County, LLC | Clinic/Center | 12555 Garden Grove Blvd, Ste 100, Garden Grove, CA 92843-1902 | 2015-12-10 |
| 1841564143 | Hong-an Jan Md Inc | Clinic/Center | 12555 Garden Grove Blvd, #202, Garden Grove, CA 92843-1902 | 2012-03-05 |
| 1912203860 | Melissa K King Md Inc | Internal Medicine | 12555 Garden Grove Blvd, Suite 405, Garden Grove, CA 92843-1902 | 2011-02-09 |
| 1073819710 | Puneet K Chahal, M.d. Inc | Internal Medicine | 12555 Garden Grove Blvd, #405, Garden Grove, CA 92843-1902 | 2011-01-27 |
| 1346546082 | Tuan V Ta Md Inc | Internal Medicine | 12555 Garden Grove Blvd, #405, Garden Grove, CA 92843-1902 | 2011-01-27 |
| 1821306838 | T.r.rhee,m.d.inc | Specialist | 12555 Garden Grove Blvd, Suite 408, Garden Grove, CA 92843-1902 | 2010-09-24 |
| 1053579136 | Andrew H Ahn Md Professional Corporation | Surgery | 12555 Garden Grove Blvd, Suite 403, Garden Grove, CA 92843-1903 | 2008-05-27 |
| 1821256090 | Advanced Center for Urology Inc | Urology | 12555 Garden Grove Blvd, Ste. 405, Garden Grove, CA 92843-1902 | 2008-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
Please comment or provide details below to improve the information on BEVERLY ONCOLOGY & IMAGING CENTER MEDICAL GR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.