San Joaquin Hematology Oncology A Pc in Stockton - Specialist
San Joaquin Hematology Oncology A Pc - NPI 1619183613
San Joaquin Hematology Oncology A Pc is a Specialist in Stockton, California. San Joaquin Hematology Oncology A Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for San Joaquin Hematology Oncology A Pc is 1619183613. The last update date is 2008-07-23.
San Joaquin Hematology Oncology A Pc's current location address is Po Box 7667, Stockton, California. You can contact this provider via phone number 2094772000 and fax number 2094770248. The mailing address for San Joaquin Hematology Oncology A Pc is Po Box 7667, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Joaquin Hematology Oncology A Pc |
|---|---|
| Address | Po Box 7667, Stockton, California |
| Phone Number | 2094772000 |
| Fax Number | 2094770248 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bangalore S Neelesh |
| Credentials | MD, PHD |
| Telephone Number | 2094772000 |
NPI Number Detail
| NPI Number | 1619183613 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2008-07-23 |
Provider Mailing Address Detail
| Address | Po Box 7667 |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952670667 |
| Phone Number | 2094772000 |
| Fax Number | 2094770248 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A70883 |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5337360002 | CA | DMERC NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to San Joaquin Hematology Oncology A Pc by the Centers for Medicare & Medicaid Services (CMS)?
The San Joaquin Hematology Oncology A Pc has been assigned the NPI (National Provider Identifier) 1619183613. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where San Joaquin Hematology Oncology A Pc is geographically located?
The San Joaquin Hematology Oncology A Pc is physically situated at the following location: Po Box 7667, Stockton, CA, 952670667.
What is the San Joaquin Hematology Oncology A Pc's specialty and taxonomy code?
The San Joaquin Hematology Oncology A Pc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did San Joaquin Hematology Oncology A Pc receive its 1619183613 assignment from the Centers for Medicare & Medicaid Services?
The San Joaquin Hematology Oncology A Pc was assigned its 1619183613 on 2007-05-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding San Joaquin Hematology Oncology A Pc most recently updated?
The details pertaining to the San Joaquin Hematology Oncology A Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-07-23.