ELITE ONCOLOGY MEDICAL GROUP
Medical Practice at Washington Blvd, Los Angeles, CA

License number
California A026479
Category
Medical Practice
Type
Specialist
Owner
Name: DR. NAZAR AL-BUSSAM M.D.
Title: DIRECTOR OF MEDICAL ONCOLOGY
Phone: (310) 397-8654
Address
Address
12099 W Washington Blvd STE 304, Los Angeles, CA 90066
National Provider ID: 1346302114
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ELITE ONCOLOGY MEDICAL GROUP, INC

12099 Washington Blvd STE 304, Los Angeles, CA 90066

Industry:
Health/Allied Services
Registration:
Jun 10, 2003
State ID:
C2517401
Business type:
Articles of Incorporation
President:
Kenneth Nechin (President)
Agent:
Ralph S Wolfstein,Los Angeles, CA 90066 (Physical)

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