Oncology Hematology Med GRP of Wla Inc

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

License

A15865 Issued in CA

Legal business name

ONCOLOGY HEMATOLOGY MED GRP OF WLA INC

Practice address

1125 S Beverly Dr
500
Los Angeles, CA 90035-1183

Phone

(310) 557-2772

Fax

(310) 557-9827

NPI assigned

Oct 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Plotkin, MD

Title

President Owner

Phone

(310) 557-2772

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1699857789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR",
            "address_2": "500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351183",
            "telephone_number": "310-557-2772",
            "fax_number": "310-557-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR",
            "address_2": "500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351183",
            "telephone_number": "310-557-2772",
            "fax_number": "310-557-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY HEMATOLOGY MED GRP OF WLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "PLOTKIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "310-557-2772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "CA",
            "license": "A15865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oncology Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.