Organization
ANGELES CLINIC AND RESEARCH INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANAZ AMINI PHARMD (ASSOC. DIRECTOR OF PHARMACY SERVICE)
(310) 231-2180
Entity
Organization
Contact information
Practice address
11818 WILSHIRE BLVD, SUITE 200, LOS ANGELES, CA 90025-6646
(310) 231-2121
(310) 231-2199
Mailing address
11800 WILSHIRE BLVD, LOS ANGELES, CA 90025-6602
(310) 231-2121
(310) 231-2199
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207UN0902X
Nuclear Imaging & Therapy Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W15185A
MEDICARE PTAN FOR GROUP
CA
Enumeration date
08/06/2008
Last updated
10/30/2024
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