Basic Information
Provider Information
NPI: 1356627640
EntityType: 2
ReplacementNPI:  
OrganizationName: CITY OF HOPE CANCER CENTER
LastName:  
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Credential:  
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Mailing Information
Address1: 8806 HIGHPINE ST
Address2:  
City: ROSEMEAD
State: CA
PostalCode: 917703720
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1500 DUARTE RD
Address2:  
City: DUARTE
State: CA
PostalCode: 910103012
CountryCode: US
TelephoneNumber: 6262564673
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/31/2011
LastUpdateDate: 10/31/2011
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: ZHOU
AuthorizedOfficialFirstName: HONG
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AuthorizedOfficialTitleorPosition: ONCOLOGY NURSE PRACTITIONER
AuthorizedOfficialTelephone: 6179352818
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
284300000X20364CAY HospitalsSpecial Hospital 

No ID Information.


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