Organization
CANCER AND BLOOD SPECIALTY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN KE BS (ADMINISTRATOR)
(562) 735-0602
Entity
Organization
Contact information
Practice address
3851 KATELLA AVE, SUITE 125, LOS ALAMITOS, CA 90720-3309
(562) 735-0602
(562) 490-8590
Mailing address
3851 KATELLA AVE, SUITE 125, LOS ALAMITOS, CA 90720-3309
(562) 735-0602
(562) 490-8590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A70377
CA
207RH0003X
Hematology & Oncology Physician
Primary
A70377
CA
Other
Enumeration date
05/15/2013
Last updated
04/19/2016
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