Pacific Shores Medical Group, Inc. in Long Beach - Hematology & Oncology
Pacific Shores Medical Group, Inc. - NPI 1073662110
Pacific Shores Medical Group, Inc. is a Hematology & Oncology in Long Beach, California. Pacific Shores Medical Group, Inc. practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Pacific Shores Medical Group, Inc. is 1073662110. The last update date is 2016-04-12.
Pacific Shores Medical Group, Inc.'s current location address is 1043 Elm Ave, Long Beach, California. You can contact this provider via phone number 5625900345 and fax number 5624378139. The mailing address for Pacific Shores Medical Group, Inc. is 1043 Elm Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Shores Medical Group, Inc. |
|---|---|
| Address | 1043 Elm Ave, Long Beach, California |
| Phone Number | 5625900345 |
| Fax Number | 5624378139 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Tchekmedyian Simon Nerses |
| Credentials | M.D. |
| Telephone Number | 5625900345 |
NPI Number Detail
| NPI Number | 1073662110 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2016-04-12 |
Provider Mailing Address Detail
| Address | 1043 Elm Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908133271 |
| Phone Number | 5625900345 |
| Fax Number | 5624378139 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
|
Definition: 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 ob |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0065543 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pacific Shores Medical Group, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Pacific Shores Medical Group, Inc. has been assigned the NPI (National Provider Identifier) 1073662110. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Pacific Shores Medical Group, Inc.?
The Pacific Shores Medical Group, Inc. is physically situated at 1043 Elm Ave, in the city of Long Beach, state of CA, with the postal code 908133271.
What is Pacific Shores Medical Group, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pacific Shores Medical Group, Inc. is Hematology & Oncology, and the taxonomy code that categorizes this field of expertise is 207Rh0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073662110 to Pacific Shores Medical Group, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1073662110 to Pacific Shores Medical Group, Inc. on 2007-01-09.
As of what date was the information regarding Pacific Shores Medical Group, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pacific Shores Medical Group, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-04-12.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC