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Organization

PREMIER HEMATOLOGY ONCOLOGY MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEONID KLEYNBERG M.D. (CHIEF EXECUTIVE OFFICER)
(323) 965-9995
Entity
Organization

Contact information

Practice address
6221 WILSHIRE BLVD, SUITE 504, LOS ANGELES, CA 90048-5201
(323) 965-9995
(323) 965-5678
Mailing address
6221 WILSHIRE BLVD, SUITE 504, LOS ANGELES, CA 90048-5201
(323) 965-9995
(323) 965-5678

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A76900
CA

Other

Enumeration date
10/13/2015
Last updated
10/13/2015
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