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Organization

HEMATOLOGY ONCOLOGY MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA BELTRAN (SITE MANAGER)
(818) 981-3818
Entity
Organization

Contact information

Practice address
16133 VENTURA BLVD, SUITE 470, ENCINO, CA 91436-2403
(818) 981-3818
(818) 784-3106
Mailing address
16133 VENTURA BLVD, SUITE 470, ENCINO, CA 91436-2403
(818) 981-3818
(818) 784-3106

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A70618
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A786180
CA
Enumeration date
07/30/2015
Last updated
07/30/2015
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