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NORTHERN CALIF CHILDRENS HEMATOLOGY & ONCOLOGY MED GRP INC NPI 1700943131


NPI Information

NPI: 1700943131
Provider Name: NORTHERN CALIF CHILDRENS HEMATOLOGY & ONCOLOGY MED GRP INC
Classification: Pediatrics - 2080P0207X
Entity Type: Organization

Specialization: Pediatric Hematology-Oncology

CLIA Number: 05D0912267

Address:
5030 J STREET
SUITE 200
SACRAMENTO, CA
ZIP 95819
Phone: (906) 469-9337
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NORTHERN CALIF CHILDRENS HEMATOLOGY & ONCOLOGY MED GRP INC is a pediatric hematology-oncology pediatrics in Sacramento, CA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. NORTHERN CALIF CHILDRENS HEMATOLOGY & ONCOLOGY MED GRP INC NPI is 1700943131. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5030 J STREET
SUITE 200
SACRAMENTO, CA
ZIP 95819
Phone: (906) 469-9337
Fax: (209) 577-1509

The provider's authorized official is Yung Yim .
The authorized official title is President and has the following contact phone number (916) 469-9337.

The CLIA number assigned to this NPI record is 05D0912267 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 8/3/2015.


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
12080P0207XPediatricsPediatric Hematology-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
1GR0062830MEDICAIDCALIFORNIA

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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