Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Oncology Medical Group

Organization Specialist · NPI 1346302114

Elite Oncology Medical Group is a Specialist 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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