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SAN DIEGO ONCOLOGY MEDICAL CLINIC NPI 1871844522


NPI Information

NPI: 1871844522
Provider Name: SAN DIEGO ONCOLOGY MEDICAL CLINIC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 05D0571469

Address:
7930 FROST ST
STE 405
SAN DIEGO, CA
ZIP 92123
Phone: (858) 571-2811
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SAN DIEGO ONCOLOGY MEDICAL CLINIC is a hematology and oncology internal medicine in San Diego, 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. SAN DIEGO ONCOLOGY MEDICAL CLINIC NPI is 1871844522. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7930 FROST ST
STE 405
SAN DIEGO, CA
ZIP 92123-737
Phone: (858) 571-2811
Fax: (858) 571-2814

The provider's authorized official is Seung Yil Thomas Song .
The authorized official title is Owner and has the following contact phone number (858) 571-2811.

The CLIA number assigned to this NPI record is 05D0571469 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/20/2012 and was last updated on 9/21/2012.


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

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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