Pacific Cancer Medical Center Inc

LBN: Pacific Cancer Medical Center Inc
Pacific Cancer Medical Center Inc is an health care organization with primary practice located at 1801 W Romneya Dr Ste #203, Anaheim CA 92801-1830. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Non-Pharmacy Dispensing Site. Other Service Providers / Specialist is the primary health care specialty. Pacific Cancer Medical Center Inc can be contacted via phone (714) 999-1465, or through Charu, Veena via phone (714) 999-1465.

Contact Information

Primary practice address
1801 W Romneya Dr Ste #203 Anaheim CA 92801-1830
Phone: (714) 999-1465
Fax: (714) 999-1701
Website:
Map and Directions
Authorized official contact:
Name: Charu, Veena Doctor of Medicine (MD)
Phone: (714) 999-1465

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A45465 California
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1336113489
LBN Legal business name Pacific Cancer Medical Center Inc
DBA Doing business as
Authorized official Charu, Veena Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Jan 30th, 2023 - about 2 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 1336113489 NPPES
California MEDICAID GR0093300

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