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Organization

JSE SURGICAL ONCOLOGY ASSOCIATES A PROFESSIONAL MEDICAL CORPORATION

Active
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Organization

JSE SURGICAL ONCOLOGY ASSOCIATES A PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES STEVEN ECONOMOU MD (PRESIDENT)
(310) 600-8370
Entity
Organization

Contact information

Practice address
10833 LE CONTE AVE RM 54-140, LOS ANGELES, CA 90095-3075
(310) 825-2644
(310) 825-7575
Mailing address
528 PALISADES DR # 216, PACIFIC PALISADES, CA 90272-2844
(310) 600-8370

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0024820
CA
Enumeration date
08/01/2006
Last updated
06/14/2022
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