Organization Name: | VICTORY HEMATOLOGY AND ONCOLOGY INC |
NPI Number: | 1023402872 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUJIE TANG (PRESIDENT) |
Mailing Address: | 4940 Van Nuys Blvd Ste 207 Sherman Oaks |
State: | CA US |
Postal Code: | 914031700 |
Phone Number: | 8186513819 |
Fax Number: | 8186880138 |
NPI Enumeration Date: | 03/18/2015 |
NPI Last Update Date: | 03/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QI0500X |
License Number: | A107300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Infusion Therapy |
Taxonomy Definition: |