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Organization
EAST VALLEY HEMATOLGY AND ONCOLOGY MEDICAL GROUP INC.
Active
Organization
EAST VALLEY HEMATOLGY AND ONCOLOGY MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN JACOBS M.D. (PHYSICIAN)
(818) 840-0921
Entity
Organization
Contact information
Practice address
181 S BUENA VISTA ST, 4RTH FLOOR, BURBANK, CA 91505-4504
(818) 840-0921
(818) 840-7064
Mailing address
PO BOX 51194, LOS ANGELES, CA 90051-5494
(818) 840-0921
(818) 840-7064
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G62813
CA
Other
Enumeration date
07/15/2006
Last updated
07/07/2011
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