California Cancer Specialists Medical Group INC
Anesthesiology in Duarte, CA. Organization (NPI-2).
NPI number1912006636
StatusActive
Last updated in NPPESMay 21, 2009
Details
- NPI
- 1912006636
- Entity type
- Organization (NPI-2)
- Legal business name
- California Cancer Specialists Medical Group INC
- Organization subpart
- No
- Enumeration date
- Sep 21, 2006
- Last updated
- May 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
| 207N00000X | Dermatology | – | – | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | |
| 207T00000X | Neurological Surgery | – | – | |
| 207Y00000X | Otolaryngology | – | – | |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | – | |
| 208000000X | Pediatrics | – | – | |
| 208200000X | Plastic Surgery | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 2085R0001X | – | – | ||
| 208600000X | Surgery | – | – | |
| 208800000X | Urology | – | – | |
| 208VP0000X | – | – | ||
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – |
Practice location
1500 Duarte RdDuarte, CA 91010-3012
Phone 626-359-8111
Mailing address
Po Box 5059Monrovia, CA 91017-7159
Phone 626-775-3204 · Fax 626-775-3353
Authorized official
Lawrence Weiss
President
6263598111
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