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Los Angeles Hematology-oncology Medical Group
Non-Pharmacy Dispensing Site in Glendale, California
NPI 1952516627

Los Angeles Hematology-oncology Medical Group is a Non-Pharmacy Dispensing Site based in Glendale, CA. Los Angeles Hematology-oncology Medical Group practices in Glendale, CA. The NPI Number for Los Angeles Hematology-oncology Medical Group is 1952516627 and holds a License No. (California).

The current practice location address for Los Angeles Hematology-oncology Medical Group is 1505 Wilson Ter Ste 200, Glendale, CA and can be reached out via phone at 818-409-0105 and via fax at 818-409-0151. You can also correspond with Los Angeles Hematology-oncology Medical Group through the mailing address at 1505 WILSON TER STE 210, GLENDALE, CA - 91206-4074 (mailing address contact number: 818-696-6994).

Location: 1505 Wilson Ter Ste 200, Glendale, CA, 91206-4074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952516627
Provider Name
Los Angeles Hematology-oncology Medical Group
Credential
Provider Entity Type
Organization
Address
1505 Wilson Ter Ste 200, Glendale, CA, 91206-4074
Phone Number
818-409-0105
Fax Number
818-409-0151
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0051272 05 CA
institution
Provider Business Practice Location Address Details
Address
1505 Wilson Ter Ste 200
City
Glendale
State
California
Zip
91206-4073
Phone Number
818-409-0105
Fax Number
818-409-0151
person
Provider Business Mailing Address Details
Address
1505 Wilson Ter Ste 210
City
Glendale
State
California
Zip
91206-4074
Phone Number
818-696-6994
Fax Number
844-292-1565
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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