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Organization
CENTER FOR CANCER AND BLOOD DISORDERS
Active
Organization
CENTER FOR CANCER AND BLOOD DISORDERS
Active
Other names
Cancer and Blood Care Specialists, CCBD
Organization subpart
No
Provider details
NPI number
Authorized official
STAVROULA OTIS MD (DIRECTOR)
(323) 376-8936
Entity
Organization
Contact information
Practice address
363 S MAIN ST STE 485, ORANGE, CA 92868-3833
(714) 835-4800
(714) 835-1900
Mailing address
363 S MAIN ST STE 485, ORANGE, CA 92868-3833
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
A100358
CA
207RH0003X
Hematology & Oncology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
09/05/2017
Last updated
01/23/2024
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