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Organization

CALIFORNIA CANCER SPECIALISTS MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAWRENCE WEISS MD (PRESIDENT)
(626) 359-8111
Entity
Organization

Contact information

Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 359-8111
Mailing address
PO BOX 5059, MONROVIA, CA 91017-7159
(626) 775-3204
(626) 775-3353

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207N00000X
Dermatology Physician
207RH0003X
Hematology & Oncology Physician
207RP1001X
Pulmonary Disease Physician
207T00000X
Neurological Surgery Physician
207Y00000X
Otolaryngology Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
208000000X
Pediatrics Physician
208200000X
Plastic Surgery Physician
2084P0800X
Psychiatry Physician
2085R0001X
Radiation Oncology Physician
208600000X
Surgery Physician
208800000X
Urology Physician
208VP0000X
Pain Medicine Physician
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
09/21/2006
Last updated
05/21/2009
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