Pediatric Hematology Oncology

LBN: Pediatric Hematology Oncology
Pediatric Hematology Oncology is an health care organization with primary practice located at 747 52Nd St , Oakland CA 94609-1809. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as the primary health care specialty. Pediatric Hematology Oncology can be contacted via phone (510) 428-3885, or through Vichinsky, Elliott via phone (510) 428-3855.

Contact Information

Primary practice address
747 52Nd St Oakland CA 94609-1809
Phone: (510) 428-3885
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vichinsky, Elliott Doctor of Medicine (MD)
Phone: (510) 428-3855

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X ZZZ77127Z California

Profile Details

NPI number 1760549141
LBN Legal business name Pediatric Hematology Oncology
DBA Doing business as
Authorized official Vichinsky, Elliott Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Aug 23rd, 2013 - about 12 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 1760549141 NPPES
California MEDICAID ZZZ77127Z
California Other ZZZ77127Z

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