Organization
WEISENTHAL CANCER GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY MARK WEISENTHAL M.D., PH.D. (MEDICAL DIRECTOR)
(714) 596-2100
Entity
Organization
Contact information
Practice address
16512 BURKE LANE, HUNTINGTON BEACH, CA 92647-4538
(714) 596-2100
Mailing address
16512 BURKE LANE, HUNTINGTON BEACH, CA 92647-4538
(714) 596-2100
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CA
Other
Enumeration date
10/24/2007
Last updated
01/08/2008
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