Provider Demographics
NPI:1316454036
Name:CEDARS-SINAI VALLEY ONCOLOGY MEDICAL GROUP
Entity type:Organization
Organization Name:CEDARS-SINAI VALLEY ONCOLOGY MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONCOLOGY PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUONG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:818-981-3818
Mailing Address - Street 1:16133 VENTURA BLVD STE 470
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2402
Mailing Address - Country:US
Mailing Address - Phone:818-981-3818
Mailing Address - Fax:
Practice Address - Street 1:16133 VENTURA BLVD STE 470
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2402
Practice Address - Country:US
Practice Address - Phone:818-981-3818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty