San Joaquin Hematology/Oncology A Professional Corp

LBN: San Joaquin Hematology/Oncology A Professional Corp
San Joaquin Hematology/Oncology A Professional Corp is an health care organization with primary practice located at 1801 E March Ln Ste B260 , Stockton CA 95210-6655. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. San Joaquin Hematology/Oncology A Professional Corp can be contacted via phone (209) 474-1458, or through Bangalore, Neelesh via phone (209) 839-9115.

Contact Information

Primary practice address
1801 E March Ln Ste B260 Stockton CA 95210-6655
Phone: (209) 474-1458
Fax: (209) 474-1444
Website:
Map and Directions
Authorized official contact:
Name: Bangalore, Neelesh MD, PHD
Phone: (209) 839-9115

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A70883 California

Profile Details

NPI number 1578515045
LBN Legal business name San Joaquin Hematology/Oncology A Professional Corp
DBA Doing business as
Authorized official Bangalore, Neelesh MD, PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Apr 29th, 2016 - about 8 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 1578515045 NPPES
California Other ZZZ08571Z BLUE SHIELD
California Other 00A708832 BLUE SHIELD
California Other P00186385 BLUE SHIELD
California Other 00A708830 BLUE SHIELD
California MEDICAID 00A708831 BLUE SHIELD
California Other DC7234 BLUE SHIELD

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