Healthcare Provider Details
I. General information
NPI: 1851416374
Provider Name (Legal Business Name): CITY OF HOPE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/21/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1500 DUARTE RD
DUARTE CA
91010-3012
US
IV. Provider business mailing address
1500 DUARTE RD
DUARTE CA
91010-3012
US
V. Phone/Fax
- Phone: 626-256-4673
- Fax: 626-930-5362
- Phone: 626-256-4673
- Fax: 626-930-5362
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 284300000X |
| Taxonomy | Special Hospital |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
MARIA
ELENITA
SALMON
Title or Position: MEDICAL ONCOLOGY NURSE PRACTITIONER
Credential: NP
Phone: 626-256-4673