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Contact Information

PACIFIC SHORES MEDICAL GROUP, INC
16300 SAND CANYON AVE
STE 207
IRVINE, CA92618
 Phone: 949-333-7580
 Fax: 949-333-7599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PACIFIC SHORES MEDICAL GROUP, INC

NPI # 1447587050
LBN Legal business name PACIFIC SHORES MEDICAL GROUP, INC
Authorized official NERSES TCHEKMEDYAIN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2009
Last updated 08/22/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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