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PACIFIC HEMATOLOGY & ONCOLOGY INSTITUTE NPI 1629227962


NPI Information

NPI: 1629227962
Provider Name: PACIFIC HEMATOLOGY & ONCOLOGY INSTITUTE
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
612 W DUARTE RD
SUITE 804
ARCADIA, CA
ZIP 91007
Phone: (626) 247-1192
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PACIFIC HEMATOLOGY & ONCOLOGY INSTITUTE is a hematology and oncology internal medicine in Arcadia, 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. PACIFIC HEMATOLOGY & ONCOLOGY INSTITUTE NPI is 1629227962. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

612 W DUARTE RD
SUITE 804
ARCADIA, CA
ZIP 91007-602
Phone: (626) 247-1192
Fax: (626) 247-1196

The provider's authorized official is Henry Wang .
The authorized official title is Partner and has the following contact phone number (626) 247-1192.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 2/25/2010.


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 & OncologyG79934CALIFORNIANo
2207RH0003XInternal MedicineHematology & OncologyA72545CALIFORNIAYes

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
1CP458AMEDICARE PIN
21629227962MEDICAIDCALIFORNIA

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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