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ANGELES CLINIC AND RESEARCH INSTITUTE INC NPI 1841456019


NPI Information

NPI: 1841456019
Provider Name: ANGELES CLINIC AND RESEARCH INSTITUTE INC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 05D0907443

Address:
11818 WILSHIRE BLVD
SUITE 200
LOS ANGELES, CA
ZIP 90025
Phone: (310) 231-2121
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ANGELES CLINIC AND RESEARCH INSTITUTE INC is a hematology and oncology internal medicine in Los Angeles, 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. ANGELES CLINIC AND RESEARCH INSTITUTE INC NPI is 1841456019. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11818 WILSHIRE BLVD
SUITE 200
LOS ANGELES, CA
ZIP 90025-646
Phone: (310) 231-2121
Fax: (310) 231-2199

The provider's authorized official is Barbara Quinn .
The authorized official title is Director Of Operations and has the following contact phone number (310) 582-7988.

The CLIA number assigned to this NPI record is 05D0907443 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/6/2008 and was last updated on 8/6/2008.


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
1207UN0902XNuclear MedicineNuclear Imaging & TherapyNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
3207RH0003XInternal MedicineHematology & OncologyYes

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
1WA74223CMEDICARE PIN
2WA53519CMEDICARE PINCALIFORNIA
3W15185AOTHERCALIFORNIAMEDICARE PTAN FOR GROUP
4WG69870SMEDICARE PINCALIFORNIA
5A40998MEDICARE UPINCALIFORNIA
6F04057MEDICARE UPINCALIFORNIA
7I33167MEDICARE UPINCALIFORNIA
8I57646MEDICARE UPINCALIFORNIA
9WG45466DMEDICARE PINCALIFORNIA
10A89817MEDICARE UPINCALIFORNIA
11A46556MEDICARE UPINCALIFORNIA
12W20A6503CMEDICARE PIN
13WA82669BMEDICARE PINCALIFORNIA
14A52182MEDICARE UPINCALIFORNIA
15B45772MEDICARE UPINCALIFORNIA
16E87688MEDICARE UPINCALIFORNIA
17WG71599UMEDICARE PINCALIFORNIA
18WG36051LMEDICARE PINCALIFORNIA
19WG52155JMEDICARE PINCALIFORNIA
20A59102MEDICARE UPINCALIFORNIA
21WG20643EMEDICARE PINCALIFORNIA

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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