San Joaquin Hematology Oncology A Pc

LBN: San Joaquin Hematology Oncology A Pc
San Joaquin Hematology Oncology A Pc is an health care organization with primary practice located at 4600 S Tracy Blvd Ste 108 , Tracy CA 95377-8105. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. San Joaquin Hematology Oncology A Pc can be contacted via phone (209) 839-9115, or through Bangalore, Neelesh S via phone (209) 839-9115.

Contact Information

Primary practice address
4600 S Tracy Blvd Ste 108 Tracy CA 95377-8105
Phone: (209) 839-9115
Fax: (209) 833-7262
Website:
Map and Directions
Authorized official contact:
Name: Bangalore, Neelesh S MD, PHD
Phone: (209) 839-9115

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A70883 California

Profile Details

NPI number 1013123496
LBN Legal business name San Joaquin Hematology Oncology A Pc
DBA Doing business as
Authorized official Bangalore, Neelesh S MD, PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Jul 23rd, 2008 - about 18 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 1013123496 NPPES
California Other 5337360001 DMERC NUMBER

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