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PACIFIC COAST HEMATOLOGY ONCOLOGY MEDICAL GROUP INC
NPI 1265500318
Internal Medicine - Hematology & Oncology in Fountain Valley, CA

Active since November 30, 2006
9940 TALBERT AVENUE, SUITE 100, FOUNTAIN VALLEY, CA 92708(714) 845-0200(714) 845-0239 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pacific Coast Hematology Oncology Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC COAST HEMATOLOGY ONCOLOGY MEDICAL GROUP INC (NPI 1265500318) is a healthcare organization registered as a hematology & oncology in Fountain Valley, California and active in the NPI registry since November 2006. The organization lists Glen R Justice, Owner President, as its authorized official.

NPPES Registry Identity

NPI1265500318
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NamePACIFIC COAST HEMATOLOGY ONCOLOGY MEDICAL GROUP INC
Location Address9940 TALBERT AVENUE, SUITE 100Fountain Valley, CA 92708-4019
Mailing Address9940 Talbert Ave, Suite 100Fountain Valley, CA 92708-5153 · (714) 845-0200 · Fax (714) 845-0239
Phone(714) 845-0200
Fax(714) 845-0239
Organization SubpartNo
Authorized OfficialGlen R JusticeOwner President · (714) 845-0200
Enumeration DateNovember 30, 2006
Last NPPES UpdateJune 21, 2018
✔ NPI 1265500318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

9940 TALBERT AVENUE, Fountain Valley, CA 92708
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Other Names 1

Former Legal Business NamePacific Coast Hematology Oncology Medical Group Inc

Other Identifiers 5

Other========= ACA · Health Net Selec
MedicaidGR0059571CA
Other========= DCA · Health Net Select
Other========= 0073CA · Cigna
OtherZZZ21205ZCA · Bs Of California

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Coast Hematology Oncology Medical Group Inc's NPI number?

The NPI number for Pacific Coast Hematology Oncology Medical Group Inc is 1265500318. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Pacific Coast Hematology Oncology Medical Group Inc located?

Pacific Coast Hematology Oncology Medical Group Inc is located at 9940 Talbert Avenue Suite 100, Fountain Valley, CA 92708. The listed phone number is (714) 845-0200.

What is Pacific Coast Hematology Oncology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Pacific Coast Hematology Oncology Medical Group Inc was last updated on June 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.