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General NPI Number Information
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NPI Number | 1700090388
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Entity Type | Organization
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Legal Business Name | USC KENNETH NORRIS JR. CANCER HOSPITAL
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1441 EASTLAKE AVE. ROOM 1355
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City | LOS ANGELES
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State | CA
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Zip | 90033
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Country | US
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Telephone | 323-865-3613
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Fax | 323-865-0146
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Provider Business Mailing Address
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Address Line | 1441 EASTLAKE AVE ROOM 1355
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City | LOS ANGELES
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State | CA
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Zip | 90033
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Country | US
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Telephone | 323-865-3613
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Fax | 323-865-0146
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Authorized Official
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Title or Position | MANAGER
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Name | DR. KEVIN C. KANEKO
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Credential | PHARM.D.
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Telephone | 323-865-3613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 46631
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number | 46631
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License Number State | CA
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