Healthcare Provider Details

I. General information

NPI: 1851495501
Provider Name (Legal Business Name): HEMATOLOGY ONCOLOGY CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 11/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 SEPULVEDA BLVD SUITE 211
VAN NUYS CA
91405-4451
US

IV. Provider business mailing address

6850 SEPULVEDA BLVD SUITE 211
VAN NUYS CA
91405-4451
US

V. Phone/Fax

Practice location:
  • Phone: 818-994-0101
  • Fax: 818-994-2126
Mailing address:
  • Phone: 818-994-0101
  • Fax: 818-994-2126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: STANLEY HERSCHEL ROSSMAN
Title or Position: DOCTOR PARTNER
Credential: MD
Phone: 818-994-0101