Wilshire Oncology Medical Group, Inc.

LBN: Wilshire Oncology Medical Group, Inc.
Wilshire Oncology Medical Group, Inc. is an health care organization with primary practice located at 50 Bellefontaine St Suite 201, Pasadena CA 91105-3132. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Wilshire Oncology Medical Group, Inc. can be contacted via phone (626) 844-8999, or through Bosserman, Linda Diana via phone (909) 593-4333.

Contact Information

Primary practice address
50 Bellefontaine St Suite 201 Pasadena CA 91105-3132
Fax: (626) 844-8995
Website:
Authorized official contact:
Name: Bosserman, Linda Diana Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1346429362
LBN Legal business name Wilshire Oncology Medical Group, Inc.
DBA Doing business as
Authorized official Bosserman, Linda Diana Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2007
Last updated May 7th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346429362 NPPES
California MEDICAID GR0002883

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