Organization
VICTORY HEMATOLOGY AND ONCOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUJIE TANG (PRESIDENT)
(818) 651-3819
Entity
Organization
Contact information
Practice address
4940 VAN NUYS BLVD STE 207, SHERMAN OAKS, CA 91403-1700
(818) 616-3998
(818) 688-0138
Mailing address
4940 VAN NUYS BLVD STE 207, SHERMAN OAKS, CA 91403-1700
(818) 616-3998
(818) 688-0138
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
A107300
CA
261QX0200X
Oncology Clinic/Center
Primary
A107300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB232904
MEDICARE PTAN
CA
Enumeration date
03/18/2015
Last updated
08/01/2016
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