| NPI | 1740859040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT JENSEN AO 626-218-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 208600000X Surgery |
| 207RX0202X Internal Medicine Medical Oncology | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2022-01-19 |