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Organization

PACIFIC HEMATOLOGY & ONCOLOGY INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HENRY WANG M.D. (PARTNER)
(626) 247-1192
Entity
Organization

Contact information

Practice address
612 W DUARTE RD, SUITE 804, ARCADIA, CA 91007-7602
(626) 247-1192
(626) 247-1196
Mailing address
612 W DUARTE RD, SUITE 804, ARCADIA, CA 91007-7602
(626) 247-1192
(626) 247-1196

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A72545
CA
207RH0003X
Hematology & Oncology Physician
G79934
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629227962
CA
Enumeration date
09/11/2008
Last updated
02/25/2010
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