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Organization
ANGELES CLINIC AND RESEARCH INSTITUTE INC
Active
Organization
ANGELES CLINIC AND RESEARCH INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANAZ AMINI PHARMD (ASSOC. DIRECTOR OF PHARMACY SERVICE)
(310) 231-2180
Entity
Organization
Contact information
Practice address
11818 WILSHIRE BLVD, SUITE 200, LOS ANGELES, CA 90025-6646
(310) 231-2121
(310) 231-2199
Mailing address
11800 WILSHIRE BLVD, LOS ANGELES, CA 90025-6602
(310) 231-2121
(310) 231-2199
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207UN0902X
Nuclear Imaging & Therapy Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W15185A
MEDICARE PTAN FOR GROUP
CA
Enumeration date
08/06/2008
Last updated
10/30/2024
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