California Cancer Care Medical Group

LBN: California Cancer Care Medical Group
California Cancer Care Medical Group is an health care organization with primary practice located at 1325 Melrose Ave Suite A, Modesto CA 95350-5508. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. California Cancer Care Medical Group can be contacted via phone (209) 524-7000, or through Banisadre, Mussa via phone (209) 524-7000.

Contact Information

Primary practice address
1325 Melrose Ave Suite A Modesto CA 95350-5508
Phone: (209) 524-7000
Fax: (209) 527-5601
Website:
Map and Directions
Authorized official contact:
Name: Banisadre, Mussa Doctor of Medicine (MD)
Phone: (209) 524-7000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1033163688
LBN Legal business name California Cancer Care Medical Group
DBA Doing business as
Authorized official Banisadre, Mussa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Feb 11th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033163688 NPPES
California MEDICAID GR0057600

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