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CENTRAL COAST ONCOLOGY & HEMATOLOGY NPI 1942473491


NPI Information

NPI: 1942473491
Provider Name: CENTRAL COAST ONCOLOGY & HEMATOLOGY
Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

CLIA Number: 05D1083014

Address:
1669 DOMINICAN WAY
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 475-2220
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CENTRAL COAST ONCOLOGY & HEMATOLOGY is a medical oncology internal medicine in Santa Cruz, CA. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. CENTRAL COAST ONCOLOGY & HEMATOLOGY NPI is 1942473491. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1669 DOMINICAN WAY
SANTA CRUZ, CA
ZIP 95065-523
Phone: (831) 475-2220
Fax: (831) 475-2221

The provider's authorized official is Michael Yen .
The authorized official title is Owner and has the following contact phone number (831) 475-2220.

The CLIA number assigned to this NPI record is 05D1083014 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/4/2008 and was last updated on 6/21/2018.


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 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
1=========OTHERCALIFORNIATIN

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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