Provider Demographics
NPI:1720243876
Name:HEMOTHERAPEUTICS, INC.
Entity Type:Organization
Organization Name:HEMOTHERAPEUTICS, INC.
Other - Org Name:HEMOTHERAPY CENTER OF NEVADA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HAL
Authorized Official - Middle Name:
Authorized Official - Last Name:LIEBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-224-3785
Mailing Address - Street 1:20350 VENTURA BLVD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2452
Mailing Address - Country:US
Mailing Address - Phone:818-224-3785
Mailing Address - Fax:818-224-3795
Practice Address - Street 1:3150 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1970
Practice Address - Country:US
Practice Address - Phone:702-878-5800
Practice Address - Fax:702-878-5890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service