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HEMATOLOGY ONCOLOGY MEDICAL GROUP NPI 1104201292


NPI Information

NPI: 1104201292
Provider Name: HEMATOLOGY ONCOLOGY MEDICAL GROUP
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
16133 VENTURA BLVD
SUITE 470
ENCINO, CA
ZIP 91436
Phone: (818) 981-3818
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HEMATOLOGY ONCOLOGY MEDICAL GROUP is a hematology and oncology internal medicine in Encino, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. HEMATOLOGY ONCOLOGY MEDICAL GROUP NPI is 1104201292. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16133 VENTURA BLVD
SUITE 470
ENCINO, CA
ZIP 91436-403
Phone: (818) 981-3818
Fax: (818) 784-3106

The provider's authorized official is Maria Beltran .
The authorized official title is Site Manager and has the following contact phone number (818) 981-3818.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 7/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyA70618CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H96166MEDICARE UPINCALIFORNIA
200A786180MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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