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MEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO A MEDICAL GROUP INC NPI 1629046925


NPI Information

NPI: 1629046925
Provider Name: MEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO A MEDICAL GROUP INC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
3075 HEALTH CENTER DR
SUITE 102
SAN DIEGO, CA
ZIP 92123
Phone: (858) 637-7888
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MEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO A MEDICAL GROUP INC is a hematology and oncology internal medicine in San Diego, 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. MEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO A MEDICAL GROUP INC NPI is 1629046925. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3075 HEALTH CENTER DR
SUITE 102
SAN DIEGO, CA
ZIP 92123-773
Phone: (858) 637-7888
Fax: (858) 637-7887

The provider's authorized official is Joyce Johnston .
The authorized official title is Ceo and has the following contact phone number (858) 637-7888.

The enumeration date for this NPI number is 3/10/2006 and was last updated on 11/8/2012.


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 & OncologyYes

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
1GR0060290MEDICAIDCALIFORNIA
2W13098MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE GROUP NUMBER
30666140002MEDICARE NSCCALIFORNIA

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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