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Organization
FENIX HEALTH MEDICAL ONCOLOGY GROUP PC
Active
Organization
FENIX HEALTH MEDICAL ONCOLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS J PEREZ M.D. (CEO/PRESIDENT)
(818) 507-4732
Entity
Organization
Contact information
Practice address
72301 COUNTRY CLUB DR STE 109, RANCHO MIRAGE, CA 92270-8007
(760) 610-5037
Mailing address
550 N BRAND BLVD STE 1000, GLENDALE, CA 91203-1966
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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