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Organization
CANCER AND BLOOD SPECIALTY CLINIC
Active
Organization
CANCER AND BLOOD SPECIALTY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VU Q PHAN M.D. (PHYSICIAN)
(562) 725-4367
Entity
Organization
Contact information
Practice address
3822 KATELLA AVE, LOS ALAMITOS, CA 90720-3302
(627) 254-3675
(562) 725-4369
Mailing address
P O BOX 743752 LOS ANGELES CA 90074-3752, LOS ANGELES, CA 90074-3752
(562) 725-4367
(562) 725-4369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A70377
CA
207RH0003X
Hematology & Oncology Physician
Primary
A70377
CA
261QX0200X
Oncology Clinic/Center
A70377
CA
Other
Enumeration date
04/09/2009
Last updated
10/10/2024
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