Premiere Oncology, A Medical Corporation
LBN: Premiere Oncology, A Medical Corporation
Premiere Oncology, A Medical Corporation is an health care organization with primary practice located at 2020 Santa Monica Blvd Ste 600 , Santa Monica CA 90404-2131. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Premiere Oncology, A Medical Corporation can be contacted via phone (310) 633-8400, or through Rosen, Lee S via phone (310) 633-8400.
Contact Information
Primary practice address
2020 Santa Monica Blvd Ste 600
Santa Monica CA 90404-2131
Phone: (310) 633-8400
Fax: (310) 633-8419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A49741 | California |
| Other Service Providers / Specialist | 174400000X | G73680 | California |
| Other Service Providers / Specialist | 174400000X | A52720 | California |
Profile Details
| NPI number | 1235186859 |
|---|---|
| LBN Legal business name | Premiere Oncology, A Medical Corporation |
| DBA Doing business as | |
| Authorized official | Rosen, Lee S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Aug 28th, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235186859 | NPPES |
| California | Other | A49741 | MEDICAL LICENSE - ROSEN |
| California | Other | A52720 | MEDICAL LICENSE - ROSEN |
| California | Other | G73680 | MEDICAL LICENSE - ROSEN |
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