Individual
DORIS E LYONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
575 EAST HARDY STREET, SUITE 104, INGLEWOOD, CA 90301-4038
(310) 673-9604
(310) 673-3058
Mailing address
575 EAST HARDY STREET, SUITE 104, INGLEWOOD, CA 90301-4052
(310) 673-9604
(310) 673-3058
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G32526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G325260
—
CA
01
—
953759719
TAX ID
CA
Enumeration date
10/10/2006
Last updated
05/22/2014
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