Provider Demographics
NPI:1477603983
Name:EPEIUS BIOTECHNOLOGIES CORPORATION
Entity Type:Organization
Organization Name:EPEIUS BIOTECHNOLOGIES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, MEDICAL AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:ERLINDA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-441-6695
Mailing Address - Street 1:475 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-2358
Mailing Address - Country:US
Mailing Address - Phone:626-441-6695
Mailing Address - Fax:626-441-6692
Practice Address - Street 1:475 HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:SAN MARINO
Practice Address - State:CA
Practice Address - Zip Code:91108-2358
Practice Address - Country:US
Practice Address - Phone:626-441-6695
Practice Address - Fax:626-441-6692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology