Organization
COAST HEMATOLOGY-ONCOLOGY ASSOC. MED. GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EKNATH A. DEO M.D. (OWNER)
(562) 997-4070
Entity
Organization
Contact information
Practice address
701 EAST 28TH STREET, #418 SUITE 260, LONG BEACH, CA 90806-2657
(562) 997-4070
(562) 997-4090
Mailing address
701 EAST 28TH STREET, #418, LONG BEACH, CA 90806-2661
(562) 997-4070
(562) 997-4090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A26505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0048530
—
CA
Enumeration date
07/02/2007
Last updated
02/26/2008
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