Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elite Oncology Medical Group

Organization Specialist · NPI 1346302114

Elite Oncology Medical Group provides Specialist services in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

12099 W Washington Blvd Ste 304
Los Angeles, CA 90066-2621
Phone: (310) 398-0013
Fax: (310) 398-4470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A026479 (CA)

Record details

NPI number1346302114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nazar Al-Bussam — Director Of Medical Oncology · (310) 397-8654
NPI enumeratedDecember 15, 2006
Last updated in NPPESAugust 22, 2020
Mailing address12405 Venice Blvd # 2, Los Angeles, CA 90066-3803

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