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

NPI Status: Active since December 15, 2006

Contact Information

12099 W WASHINGTON BLVD STE 304
LOS ANGELES, CA
ZIP 90066
Phone: (310) 398-0013
Fax: (310) 398-4470

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  • Specialist

About ELITE ONCOLOGY MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Elite Oncology Medical Group, a provider established in Los Angeles, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1346302114 assigned on December 2006. The practitioner's primary taxonomy code is 174400000X with license number A026479 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Nazar Al-bussam M.d. (Director Of Medical Oncology)

NPI
1346302114
Provider Name
ELITE ONCOLOGY MEDICAL GROUP
Entity Type
Organization
Location Address
12099 W WASHINGTON BLVD STE 304 LOS ANGELES, CA 90066
Location Phone
(310) 398-0013
Location Fax
(310) 398-4470
Mailing Address
12405 VENICE BLVD # 2 LOS ANGELES, CA 90066
Mailing Phone
(310) 397-8654
Mailing Fax
(310) 398-4470
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
A026479
License State
CA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. NAZAR AL-BUSSAM M.D.

Authorized Official Title
DIRECTOR OF MEDICAL ONCOLOGY
Authorized Official Phone
(310) 397-8654

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346302114
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
238660412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 6 + 0 + 4 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1346302114 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730247107ELITE ONCOLOGY MEDICAL GROUP
Organization
Specialist12099 W WASHINGTON BLVD STE 304
LOS ANGELES, CA 90066
(310) 397-8654

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346302114, enumerated in the NPI registry as an "organization" on December 15, 2006

The provider is located at 12099 W Washington Blvd Ste 304 Los Angeles, Ca 90066 and the phone number is (310) 398-0013

This medical organization specializes in Specialist with taxonomy code 174400000X

This NPI record was last updated on December 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.