Soomchungmdoncology-Hematologypc
LBN: Soomchungmdoncology-Hematologypc
Soomchungmdoncology-Hematologypc is an health care organization with primary practice located at 12555 Garden Grove Blvd Ste 309 , Garden Grove CA 92843-1903. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty.
Soomchungmdoncology-Hematologypc can be contacted via phone (714) 539-6414, or through Chung, Soo Marn via phone (714) 539-6414.
Contact Information
Primary practice address
12555 Garden Grove Blvd Ste 309
Garden Grove CA 92843-1903
Phone: (714) 539-6414
Fax: (714) 539-6933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A41090 | California |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | A41090 | California |
Profile Details
| NPI number | 1386812394 |
|---|---|
| LBN Legal business name | Soomchungmdoncology-Hematologypc |
| DBA Doing business as | |
| Authorized official | Chung, Soo Marn Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 12th, 2008 |
| Last updated | Feb 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386812394 | NPPES |
| California | MEDICAID | 00A410900 | |
| California | Other | 05D0675453 |
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