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
1505 WILSON TER STE 200, GLENDALE, CA 91206-4073
(818) 409-0105
(866) 810-7504
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
3336C0002X
Clinic Pharmacy
Primary
5638537
CA
Other
Enumeration date
01/22/2016
Last updated
03/02/2021
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