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Organization
THE ANGELES CLINIC AND RESEARCH INSTITUTE, INC.
Active
Organization
THE ANGELES CLINIC AND RESEARCH INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANAZ F AMINI PHARMD (ADMINISTRATOR)
(310) 231-2180
Entity
Organization
Contact information
Practice address
11818 WILSHIRE BLVD STE 200, LOS ANGELES, CA 90025-6647
(310) 231-2121
(310) 496-0679
Mailing address
11818 WILSHIRE BLVD STE 200, LOS ANGELES, CA 90025-6647
(310) 231-2121
(310) 496-0679
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207UN0902X
Nuclear Imaging & Therapy Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W15185
MEDICARE PTAN - FACILITY
CA
01
—
W15185A
MEDICARE PTAN - FACILITY
CA
Enumeration date
07/05/2006
Last updated
10/24/2023
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