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EL PORTAL MEDICAL ONCOLOGY INC NPI 1013208446


NPI Information

NPI: 1013208446
Provider Name: EL PORTAL MEDICAL ONCOLOGY INC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
3365 G ST STE 60
MERCED, CA
ZIP 95340
Phone: (209) 726-3410
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EL PORTAL MEDICAL ONCOLOGY INC is a hematology and oncology internal medicine in Merced, 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. EL PORTAL MEDICAL ONCOLOGY INC NPI is 1013208446. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3365 G ST STE 60
MERCED, CA
ZIP 95340-995
Phone: (209) 726-3410
Fax: (209) 726-3371

The provider's authorized official is Alireza A Mahmoudieh .
The authorized official title is Medical Director and has the following contact phone number (209) 726-3410.

The enumeration date for this NPI number is 4/19/2011 and was last updated on 4/19/2011.


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 & OncologyCALIFORNIAYes

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: 11/14/2023

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