ADVANCED HEMATOLOGY ONCOLOGY MEDICAL GROUP INC


Address: 6221 Wilshire Blvd Ste 504, Los Angeles, CA 90048-5223
Phone: (323) 965-9995

ADVANCED HEMATOLOGY ONCOLOGY MEDICAL GROUP INC (NPI# 1083142376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083142376
Entity Type Organization
Organization Name ADVANCED HEMATOLOGY ONCOLOGY MEDICAL GROUP INC
Practice Address 6221 Wilshire Blvd Ste 504
Los Angeles
CA 90048-5223
Practice Telephone (323) 965-9995
Practice Fax Number 3239655678
Mailing Telephone 3239659995
Mailing Fax Number 3239655678
Enumeration Date 2017-05-31
Last Update Date 2017-05-31
Authorized Official Name DR. ROMAN KLEYNBERG (PRESIDENT)
Authorized Official Telephone 3239659995
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 6221 WILSHIRE BLVD STE 504
City LOS ANGELES
State CA
Zip Code 90048-5223

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90048

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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