California Cancer Care Medical Group in Modesto - Hematology & Oncology

California Cancer Care Medical Group - NPI 1033163688

California Cancer Care Medical Group is a Hematology & Oncology in Modesto, California. California Cancer Care Medical Group practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for California Cancer Care Medical Group is 1033163688. The last update date is 2008-02-11.

California Cancer Care Medical Group's current location address is 1325 Melrose Ave, Modesto, California. You can contact this provider via phone number 2095247000 and fax number 2095275601. The mailing address for California Cancer Care Medical Group is 1325 Melrose Ave, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization California Cancer Care Medical Group
Address 1325 Melrose Ave, Modesto, California
Phone Number 2095247000
Fax Number 2095275601
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DO
Authorized Official Name Banisadre Mussa
Credentials MD
Telephone Number 2095247000

NPI Number Detail

NPI Number 1033163688
Provider Enumeration Date 2006-05-19
Last Updated Date 2008-02-11

Provider Mailing Address Detail

Address 1325 Melrose Ave
City Modesto
State California (CA)
Post Code 953505508
Phone Number 2095247000
Fax Number 2095275601

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
GR0057600 CA --

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FAQs about California Cancer Care Medical Group

What is the unique identifier code issued to California Cancer Care Medical Group by the Centers for Medicare & Medicaid Services?

The California Cancer Care Medical Group has been assigned the NPI (National Provider Identifier) 1033163688. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of California Cancer Care Medical Group?

The California Cancer Care Medical Group is situated at 1325 Melrose Ave, in the city of Modesto, state of CA, with the zip code 953505508.

What is California Cancer Care Medical Group's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for California Cancer Care Medical Group is Hematology & Oncology, and the taxonomy code that classifies this field of practice is 207Rh0003X.

On what date did California Cancer Care Medical Group receive its 1033163688 assignment from the Centers for Medicare & Medicaid Services?

The California Cancer Care Medical Group was assigned its 1033163688 on 2006-05-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding California Cancer Care Medical Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to California Cancer Care Medical Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-11.

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