| NPI | 1265500318 |
|---|---|
| Former Legal Business Name | PACIFIC COAST HEMATOLOGY ONCOLOGY MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | GLEN R JUSTICE Owner President 714-845-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2018-06-21 |