Pacific Shores Medical Group, Inc. in Glendale - Hematology & Oncology
Pacific Shores Medical Group, Inc. - NPI 1871642991
Pacific Shores Medical Group, Inc. is a Hematology & Oncology in Glendale, 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 1871642991. The last update date is 2016-04-12.
Pacific Shores Medical Group, Inc.'s current location address is 222 W Eulalia St, Glendale, California. You can contact this provider via phone number 8186377611. The mailing address for Pacific Shores Medical Group, Inc. is 222 W Eulalia St, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Shores Medical Group, Inc. |
|---|---|
| Address | 222 W Eulalia St, Glendale, California |
| Phone Number | 8186377611 |
| Fax Number | |
| 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 | 1871642991 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2016-04-12 |
Provider Mailing Address Detail
| Address | 222 W Eulalia St |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912042849 |
| Phone Number | 8186377611 |
| Fax Number |
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0065541 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pacific Shores Medical Group, Inc. by the Centers for Medicare & Medicaid Services?
The Pacific Shores Medical Group, Inc. has been issued the NPI (National Provider Identifier) 1871642991 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Pacific Shores Medical Group, Inc.'s physical address?
The Pacific Shores Medical Group, Inc. is physically located at 222 W Eulalia St, in the city of Glendale, CA, with the postal code 912042849.
What is the area of specialization for Pacific Shores Medical Group, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pacific Shores Medical Group, Inc. is Hematology & Oncology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rh0003X.
On what date did the Pacific Shores Medical Group, Inc. receive the assignment of its 1871642991 from the Centers for Medicare & Medicaid Services?
The Pacific Shores Medical Group, Inc. was issued its 1871642991 by the Centers for Medicare & Medicaid Services on 2007-01-09.
When was the information pertaining to Pacific Shores Medical Group, Inc. most recently updated or revised?
The details related to Pacific Shores Medical Group, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2016-04-12.