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IGENOME INC. NPI 1770102105


NPI Information

NPI: 1770102105
Provider Name: IGENOME, INC.

Doing Business As: IGENOME CANCER INSTITUTE

Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
1 WORLD TRADE CTR FL 8
LONG BEACH, CA
ZIP 90831
Phone: (267) 896-2176
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IGENOME, INC. is a critical care medicine internal medicine in Long Beach, CA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. IGENOME, INC. NPI is 1770102105. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Igenome Cancer Institute.

The provider's business location address is:

1 WORLD TRADE CTR FL 8
LONG BEACH, CA
ZIP 90831-002
Phone: (267) 896-2176

The provider's authorized official is Yu Song .
The authorized official title is Ceo and has the following contact phone number (267) 896-2176.

The enumeration date for this NPI number is 4/15/2020 and was last updated on 4/20/2020.


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
1207RX0202XInternal MedicineMedical OncologyNo
2261Q00000XClinic/CenterNo
3291U00000XClinical Medical LaboratoryNo
43336S0011XPharmacySpecialty PharmacyNo
5207RC0200XInternal MedicineCritical Care MedicineYes

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
1PENDINGMEDICAIDPENNSYLVANIA
2PENDINGOTHERCALIFORNIAMEDICAID
3PENDINGMEDICAIDNEW YORK
4PENDINGMEDICAIDMASSACHUSETTS
5PENDINGMEDICAIDNEW JERSEY

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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