Organization
AFFILIATED ONCOLOGISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ROIG (VP, MANAGED CARE AND PHYSICIAN SERV)
(310) 335-4093
Entity
Organization
Contact information
Practice address
4400 W 95TH ST, SUITE 311, OAK LAWN, IL 60453-2654
(310) 335-4000
Mailing address
PO BOX 10050, MANHATTAN BEACH, CA 90267-7550
(310) 335-4000
(310) 335-4098
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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