Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology & Oncology
Enumerated
Jun 16, 2017
License(s)
4351043144 (MI), A170000 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | FILE 57326 | Los Angeles, CA 90074-0001 | |
| LOCATION | 9333 GENESEE AVE STE 310 | San Diego, CA 92121-2111 | 858-657-5281 |
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.