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Organization

HEMATOLOGY ONCOLOGY CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK LEONARD GOLDSTEIN MD (DOCTOR PARTNER)
(818) 994-0101
Entity
Organization

Contact information

Practice address
23101 SHERMAN PL, 410, WEST HILLS, CA 91307-2003
(818) 587-9380
(818) 346-7025
Mailing address
6850 SEPULVEDA BLVD 211, VAN NUYS, CA 91405-4451
(818) 994-0101
(818) 902-5566

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0044501
CA
01
ZZZ47615Z
BLUE SHIELD
CA
Enumeration date
09/12/2006
Last updated
12/24/2014
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