Elite Oncology Medical Group

NPI 1346302114 - Specialist - 174400000X

NPI Details
NPI 1346302114
Enumeration Date 12/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NAZAR NAZAR
Position DIRECTOR OF MEDICAL ONCOLOGY
Phone (310) 398-0013
Fax (310) 398-4470
Practice Location
12099 W WASHINGTON BLVD STE 304
LOS ANGELES CA, 90066-2621, US
Phone (310) 398-0013
Fax (310) 398-4470
Business Location
12405 VENICE BLVD # 2
LOS ANGELES CA, 90066-3803, US
Phone (310) 397-8654
Fax (310) 398-4470
Toxanomy
Taxonomy Code 174400000X
License State California
License Number A026479
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According to our database, Elite Oncology Medical Group NPI is 1346302114, taxonomy code is 174400000X and license number is A026479, license state is located at California. Elite Oncology Medical Group physically located at 12099 W Washington Blvd Ste 304, Los Angeles CA, 90066-2621. NPI Number 1033115704 has the healthcare provider type.

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1346302114 NPI number is provided on an as is basis without warranty of any kind. 1346302114 is maintained by the National Plan & Provider Enumeration System. The contents of Elite Oncology Medical Group are for informational purposes only.