Organization
LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA LOU WSIAKI (PROJECT MANAGER)
(323) 254-0046
Entity
Organization
Contact information
Practice address
15211 VANOWEN ST STE 201, VAN NUYS, CA 91405-3627
(818) 574-3798
(844) 809-9305
Mailing address
541 W COLORADO ST STE 205, GLENDALE, CA 91204-3640
(323) 794-1403
(323) 488-9782
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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