East Valley Hematology Oncology Medical Group

LBN: East Valley Hematology Oncology Medical Group
East Valley Hematology Oncology Medical Group is an health care organization with primary practice located at 181 S Buena Vista St 4Rth Floor, Burbank CA 91505-4504. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. East Valley Hematology Oncology Medical Group can be contacted via phone (818) 840-0921, or through Jacobs, Edwin via phone (818) 840-0921.

Contact Information

Primary practice address
181 S Buena Vista St 4Rth Floor Burbank CA 91505-4504
Fax: (818) 840-7064
Website:
Authorized official contact:
Name: Jacobs, Edwin Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1477721868
LBN Legal business name East Valley Hematology Oncology Medical Group
DBA Doing business as
Authorized official Jacobs, Edwin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2008
Last updated Apr 14th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477721868 NPPES
California MEDICAID LAB61363F

Popular Providers