Pacific Coast Hematology Oncology Medical Group Inc

LBN: Pacific Coast Hematology Oncology Medical Group Inc
Pacific Coast Hematology Oncology Medical Group Inc is an health care organization with primary practice located at 9940 Talbert Avenue Suite 100, Fountain Valley CA 92708-4019. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Pacific Coast Hematology Oncology Medical Group Inc can be contacted via phone (714) 845-0200, or through Justice, Glen R via phone (714) 845-0200.

Contact Information

Primary practice address
9940 Talbert Avenue Suite 100 Fountain Valley CA 92708-4019
Phone: (714) 845-0200
Fax: (714) 845-0239
Website:
Map and Directions
Authorized official contact:
Name: Justice, Glen R Doctor of Medicine (MD)
Phone: (714) 845-0200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1265500318
LBN Legal business name Pacific Coast Hematology Oncology Medical Group Inc
DBA Doing business as Pacific Coast Hematology Oncology Medical Group Inc
Authorized official Justice, Glen R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Jun 21st, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265500318 NPPES
California MEDICAID GR0059571
California Other ZZZ21205Z

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