| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Pacific Coast Hematology/Oncology | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1265500318 | [sources] | |||
| Registration number | 126550 · GR0059571 · GR0059572 · GR0059573 · LAB85405F | [sources] | |||
| Sector | Owner · Physician Group | [sources] | |||
| Address | 1043 Elm Ave. , Ste. #104, Long Beach, CA · 11190 Warner Ave., Ste. 300, Fountain Valley, CA · 16300 Sand Canyon Ave., Ste. #911, Irvine, CA · 210 Hazel Dr., Corona Del Mar, CA · 9940 Talbert Ave., Ste. #100, Fountain Valley, CA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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| Linked to | ||||
|---|---|---|---|---|
| Object | Role | Start date | End date | |
| Justice, Glen R. Debarred entity | - | - | - | |