is a Pediatric Hematology-oncology in Los Angeles, California. practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for is 1740330927. The last update date is .
's current location address is 127 S San Vicente Blvd Fl 7, Los Angeles, California. You can contact this provider via phone number 3104234423 and fax number 3109671141. The mailing address for is 127 S San Vicente Blvd Fl 7, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 127 S San Vicente Blvd Fl 7, Los Angeles, California |
| Phone Number | 3104234423 |
| Fax Number | 3109671141 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740330927 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 127 S San Vicente Blvd Fl 7 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900483311 |
| Phone Number | 3104234423 |
| Fax Number | 3109671141 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Hematology-oncology |
|---|---|
| Taxonomy | 2080P0207X |
| Licence No | A55526 |
|
Definition: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A555260 | CA | -- |
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