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SAN DIEGO PACIFIC ONCOLOGY AND HEMATOLOGY ASSOCIATES INC NPI 1396780235


NPI Information

NPI: 1396780235
Provider Name: SAN DIEGO PACIFIC ONCOLOGY AND HEMATOLOGY ASSOCIATES INC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
9850 GENESEE AVE
STE 830
LA JOLLA, CA
ZIP 92037
Phone: (858) 552-1410
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SAN DIEGO PACIFIC ONCOLOGY AND HEMATOLOGY ASSOCIATES INC is a hematology and oncology internal medicine in La Jolla, 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. SAN DIEGO PACIFIC ONCOLOGY AND HEMATOLOGY ASSOCIATES INC NPI is 1396780235. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9850 GENESEE AVE
STE 830
LA JOLLA, CA
ZIP 92037-224
Phone: (858) 552-1410
Fax: (858) 552-0929

The provider's authorized official is Irene Lustria .
The authorized official title is Administrator and has the following contact phone number (858) 309-6585.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 4/2/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyG15618CALIFORNIANo
2207RH0003XInternal MedicineHematology & Oncology20A8293CALIFORNIANo
3207RH0003XInternal MedicineHematology & OncologyA50309CALIFORNIANo
4207RH0003XInternal MedicineHematology & OncologyA52663CALIFORNIANo
5207RH0003XInternal MedicineHematology & OncologyG34053CALIFORNIANo
6207RX0202XInternal MedicineMedical OncologyA69490CALIFORNIANo
7207RX0202XInternal MedicineMedical OncologyG64594CALIFORNIANo
8207RH0003XInternal MedicineHematology & OncologyG48926CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11205808920OTHERCALIFORNIANPI JUST
2G72720MEDICARE UPINCALIFORNIA
30804330001MEDICARE NSCCALIFORNIA
41497727465OTHERARKANSASNPI MCCLAY
5A51209MEDICARE UPINCALIFORNIA
61174595144OTHERCALIFORNIANPI FRAKES
7A39576MEDICARE UPINCALIFORNIA
8G58718MEDICARE UPINCALIFORNIA
91831162627OTHERARKANSASNPI EISENBERG
101164497855OTHERCALIFORNIANPI BANERJEE
11H70866MEDICARE UPINCALIFORNIA
12A45570MEDICARE UPINCALIFORNIA
131003888074OTHERCALIFORNIANPI BESSUDO
14G49356MEDICARE UPINCALIFORNIA
151356300230OTHERCALIFORNIANPI SINCLAIR
16C34008MEDICARE UPINARKANSAS

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

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