Provider Demographics
NPI:1700031242
Name:INLAND VALLEY HEMATOLOGY ONCOLOGY ASSOCIATES, A PROFESSIONAL MEDICAL
Entity type:Organization
Organization Name:INLAND VALLEY HEMATOLOGY ONCOLOGY ASSOCIATES, A PROFESSIONAL MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SWARNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHANDURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-724-8397
Mailing Address - Street 1:1910 ROYALTY DR
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-3021
Mailing Address - Country:US
Mailing Address - Phone:909-630-7342
Mailing Address - Fax:909-630-7380
Practice Address - Street 1:1910 ROYALTY DR
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-3021
Practice Address - Country:US
Practice Address - Phone:909-630-7342
Practice Address - Fax:909-630-7380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41753207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty