Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology & Oncology
Enumerated
May 20, 2008
License(s)
A112161 (CA), A112161 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 16105 SAND CANYON AVE STE 230 | Irvine, CA 92618-3780 | 949-764-4060 |
| LOCATION | 16105 SAND CANYON AVE STE 230 | Irvine, CA 92618-3780 | 949-764-4060 |
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