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LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP NPI 1295309359


NPI Information

NPI: 1295309359
Provider Name: LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 05D2234830

Address:
3808 W RIVERSIDE DR STE 302
BURBANK, CA
ZIP 91505
Phone: (323) 254-0046
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LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP is a hematology and oncology internal medicine in Burbank, 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. LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP NPI is 1295309359. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3808 W RIVERSIDE DR STE 302
BURBANK, CA
ZIP 91505-363
Phone: (323) 254-0046
Fax: (323) 488-9782

The provider's authorized official is Marla Lou Wsiaki .
The authorized official title is Project Manager and has the following contact phone number (323) 254-0046.

The CLIA number assigned to this NPI record is 05D2234830 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/13/2021 and was last updated on 5/24/2021.


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 & OncologyYes

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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