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 | Physician Group; Owner | [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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Object | Role | Start date | End date | |
Justice, Glen R. Debarred entity | - | - | - |