Provider Demographics
NPI:1831513266
Name:ALLIED GENERAL AND ONCOLOGY SURGICAL ASSOCIATES INC
Entity type:Organization
Organization Name:ALLIED GENERAL AND ONCOLOGY SURGICAL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:F
Authorized Official - Last Name:MEMSIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-337-9668
Mailing Address - Street 1:436 N BEDFORD DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4310
Mailing Address - Country:US
Mailing Address - Phone:310-337-9668
Mailing Address - Fax:
Practice Address - Street 1:436 N BEDFORD DR
Practice Address - Street 2:SUITE 103
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4310
Practice Address - Country:US
Practice Address - Phone:310-337-9668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty