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Organization
METROPOLITAN HEMATOLOGY ONCOLOGY MEDICAL GROUP, INC
Active
Organization
METROPOLITAN HEMATOLOGY ONCOLOGY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER SAMUEL KENNEDY MD (PRESIDENT)
(213) 484-6474
Entity
Organization
Contact information
Practice address
201 S ALVARADO STREET, SUITE 110, LOS ANGELES, CA 90057-2394
(213) 484-6474
(213) 484-8470
Mailing address
PO BOX 81172, SAN MARINO, CA 91118-1172
(213) 484-6474
(213) 484-8470
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C38037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0064910
—
CA
Enumeration date
04/07/2006
Last updated
04/12/2010
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