| NPI | 1316513807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT JENSEN AO 626-256-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2022-01-14 |