SOOMCHUNGMDONCOLOGY-HEMATOLOGYPC NPI 1386812394

NPI Information

NPI: 1386812394
Provider Name: SOOMCHUNGMDONCOLOGY-HEMATOLOGYPC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
12555 GARDEN GROVE BLVD STE 309
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 539-6414
Get Directions

SOOMCHUNGMDONCOLOGY-HEMATOLOGYPC is a hematology and oncology internal medicine in Garden Grove, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SOOMCHUNGMDONCOLOGY-HEMATOLOGYPC NPI is 1386812394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12555 GARDEN GROVE BLVD STE 309
GARDEN GROVE, CA
ZIP 92843-903
Phone: (714) 539-6414
Fax: (714) 539-6933

The provider's authorized official is Soo Marn Chung .
The authorized official title is Ceo and has the following contact phone number (714) 539-6414.

The enumeration date for this NPI number is 2/12/2008 and was last updated on 2/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		A41090	CALIFORNIA	No
2	207RH0003X	Internal Medicine	Hematology & Oncology	A41090	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A29292	MEDICARE UPIN	CALIFORNIA
2	00A410900	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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