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
3808 W RIVERSIDE DR STE 302, BURBANK, CA 91505-4363
(323) 254-0046
(323) 488-9782
Mailing address
541 W COLORADO ST STE 205, GLENDALE, CA 91204-3640
(323) 254-0046
(323) 488-9782
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/24/2021
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