Beverly Oncology Multispecialty Group Medcial Corporation
Specialist in City Of Industry, CA. Organization (NPI-2).
NPI number1265782890
StatusActive
Last updated in NPPESSep 11, 2012
Details
- NPI
- 1265782890
- Entity type
- Organization (NPI-2)
- Legal business name
- Beverly Oncology Multispecialty Group Medcial Corporation
- Organization subpart
- No
- Enumeration date
- Sep 11, 2012
- Last updated
- Sep 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | G32178 | CA | Yes |
Other names
- Beverly Oncology Multispecialty Group (Doing Business As)
Practice location
18575 Gale AveSuite 108
City Of Industry, CA 91748-1340
Phone 626-810-6886
Mailing address
200 E Beverly BlvdSuite 200
Montebello, CA 90640-7001
Phone 323-517-9800 · Fax 323-727-7574
Authorized official
John P Thropay
Medical Doctor
3235179800
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