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PCR ONCOLOGY INC. NPI 1891139317


NPI Information

NPI: 1891139317
Provider Name: PCR ONCOLOGY, INC.

Doing Business As: PCR ONCOLOGY

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
584 CAMINO MERCADO
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 474-9143
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PCR ONCOLOGY, INC. is a hematology and oncology internal medicine in Arroyo Grande, 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. PCR ONCOLOGY, INC. NPI is 1891139317. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pcr Oncology.

The provider's business location address is:

584 CAMINO MERCADO
ARROYO GRANDE, CA
ZIP 93420-816
Phone: (805) 474-9143
Fax: (805) 474-9569

The provider's authorized official is David Leigh Palchak .
The authorized official title is Physician/owner and has the following contact phone number (805) 474-9143.

The enumeration date for this NPI number is 4/26/2013 and was last updated on 12/5/2022.


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 & OncologyG60994CALIFORNIAYes

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
100G609941MEDICAIDCALIFORNIA
2110116966OTHERCALIFORNIARAILROAD MEDICARE
300G609940OTHERCALIFORNIABLUE 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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