Provider Demographics
NPI:1316261282
Name:ONCOLOGY CARE MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:ONCOLOGY CARE MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IRA
Authorized Official - Middle Name:E
Authorized Official - Last Name:FELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-945-6770
Mailing Address - Street 1:101 E BEVERLY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-4300
Mailing Address - Country:US
Mailing Address - Phone:323-726-7535
Mailing Address - Fax:562-945-0140
Practice Address - Street 1:416 W LAS TUNAS DR
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1236
Practice Address - Country:US
Practice Address - Phone:626-285-4094
Practice Address - Fax:626-281-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG58179332B00000X
CAA103497332B00000X
CAG37852332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies