Organization · Type 2 NPI

Premier Hematology Oncology Medical Group Inc

Hematology & Oncology Physician · Los Angeles, CA

NPI number 1306217583 Active

Practice location

6221 Wilshire Blvd, Suite 504
Los Angeles, CA 90048-5201

Call (323) 965-9995 Map

Fax (323) 965-5678

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XA76900 (CA)

Hematology & Oncology Physician: 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.

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About NPI 1306217583

Premier Hematology Oncology Medical Group Inc's National Provider Identifier is 1306217583, issued on Oct 13, 2015. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 13, 2015.