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COMPASSIONATE CANCER CARE MEDICAL GROUP INC. NPI 1548248032


NPI Information

NPI: 1548248032
Provider Name: COMPASSIONATE CANCER CARE MEDICAL GROUP, INC.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D1015130

Address:
11180 WARNER AVE STE 351
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 698-0300
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COMPASSIONATE CANCER CARE MEDICAL GROUP, INC. is a specialist in Fountain Valley, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COMPASSIONATE CANCER CARE MEDICAL GROUP, INC. NPI is 1548248032. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11180 WARNER AVE STE 351
FOUNTAIN VALLEY, CA
ZIP 92708-516
Phone: (714) 698-0300
Fax: (714) 698-0303

The provider's authorized official is Haresh S Jhangiani .
The authorized official title is Physician./owner and has the following contact phone number (714) 698-0300.

The CLIA number assigned to this NPI record is 05D1015130 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/4/2006 and was last updated on 4/19/2018.


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
1174400000XSpecialistA38872CALIFORNIAYes

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
1GR0093942MEDICAIDCALIFORNIA
2GR0093940MEDICAIDCALIFORNIA
3GR0093941MEDICAIDCALIFORNIA
4ZZZ64478ZOTHERCALIFORNIABLUE SHIELD
5ZZZ05039ZOTHERCALIFORNIABLUE SHIELD
6ZZZ05040ZOTHERCALIFORNIABLUE SHIELD

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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