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Organization
PREMIER HEMATOLOGY ONCOLOGY MEDICAL GROUP INC
Active
Organization
PREMIER HEMATOLOGY ONCOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONID KLEYNBERG M.D. (CHIEF EXECUTIVE OFFICER)
(323) 965-9995
Entity
Organization
Contact information
Practice address
6221 WILSHIRE BLVD, SUITE 504, LOS ANGELES, CA 90048-5201
(323) 965-9995
(323) 965-5678
Mailing address
6221 WILSHIRE BLVD, SUITE 504, LOS ANGELES, CA 90048-5201
(323) 965-9995
(323) 965-5678
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A76900
CA
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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