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ELITE ONCOLOGY MEDICAL GROUP
NPI 1346302114
Specialist in Los Angeles, CA

Active since December 15, 2006
12099 W WASHINGTON BLVD STE 304, LOS ANGELES, CA 90066(310) 398-0013(310) 398-4470 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elite Oncology Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE ONCOLOGY MEDICAL GROUP (NPI 1346302114) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since December 2006. The organization lists Nazar Al-bussam, Director Of Medical Oncology, as its authorized official.

NPPES Registry Identity

NPI1346302114
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameELITE ONCOLOGY MEDICAL GROUP
Location Address12099 W WASHINGTON BLVD STE 304Los Angeles, CA 90066-2621
Mailing Address12405 Venice Blvd # 2Los Angeles, CA 90066-3803 · (310) 397-8654 · Fax (310) 398-4470
Phone(310) 398-0013
Fax(310) 398-4470
Organization SubpartNo
Authorized OfficialNazar Al-bussamDirector Of Medical Oncology · (310) 397-8654
Enumeration DateDecember 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1346302114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A026479
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12099 W WASHINGTON BLVD STE 304, Los Angeles, CA 90066
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELITE ONCOLOGY MEDICAL GROUP
Specialist
12099 W WASHINGTON BLVD STE 304
LOS ANGELES, CA 90066
Los Angeles County (310) 397-8654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Oncology Medical Group's NPI number?

The NPI number for Elite Oncology Medical Group is 1346302114. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Elite Oncology Medical Group located?

Elite Oncology Medical Group is located at 12099 W Washington Blvd Ste 304, Los Angeles, CA 90066. The listed phone number is (310) 398-0013.

What is Elite Oncology Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Elite Oncology Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.