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VALLEY TUMOR MEDICAL GROUP A MEDICAL CORPORATION NPI 1366584948


NPI Information

NPI: 1366584948
Provider Name: VALLEY TUMOR MEDICAL GROUP A MEDICAL CORPORATION

Doing Business As: ANTELOPE VALLEY CANCER CENTER

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
38660 MEDICAL CENTER DR
SUITE A-380
PALMDALE, CA
ZIP 93551
Phone: (661) 948-5928
Get Directions

VALLEY TUMOR MEDICAL GROUP A MEDICAL CORPORATION is a hematology and oncology internal medicine in Palmdale, 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. VALLEY TUMOR MEDICAL GROUP A MEDICAL CORPORATION NPI is 1366584948. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Antelope Valley Cancer Center.

The provider's business location address is:

38660 MEDICAL CENTER DR
SUITE A-380
PALMDALE, CA
ZIP 93551-385
Phone: (661) 948-5928
Fax: (661) 948-2210

The provider's authorized official is Mukund G Shah .
The authorized official title is Corporate Secretary and has the following contact phone number (661) 948-5928.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 1/21/2014.


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 & 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
1ZZZ83686ZMEDICAIDCALIFORNIA
20844640001MEDICARE NSCCALIFORNIA

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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