Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology & Oncology
Enumerated
Mar 27, 2013
License(s)
01080404A (IN), A168278 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1500 DUARTE RD | Duarte, CA 91010-3012 | 626-256-4673 |
| MAILING | PO BOX 512185 | Los Angeles, CA 90051-0185 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.