IGENOME CANCER INSTITUTE
NPI 1770102105
Internal Medicine - Critical Care Medicine in Long Beach, CA

Q: What is Igenome, Inc.'s NPI number?

The NPI number for Igenome, Inc. is 1770102105. It was assigned to this organization in the NPPES registry on April 15, 2020. The provider is doing business as Igenome Cancer Institute.

Q: What is Igenome, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Igenome, Inc. was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 15, 2020

1 WORLD TRADE CTR FL 8, LONG BEACH, CA 90831(267) 896-2176 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2020, Apr 15, 2020 (2 updates tracked since 2020).

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About Igenome Cancer Institute NPPES

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

IGENOME CANCER INSTITUTE (NPI 1770102105) is a healthcare organization registered as a critical care medicine in Long Beach, California and active in the NPI registry since April 2020. The organization maintains 2 additional practice locations and lists Yu Song, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770102105

Entity TypeOrganization

Primary Taxonomy207RC0200X

Legal Business NameIGENOME, INC.

Location Address1 WORLD TRADE CTR FL 8Long Beach, CA 90831-0002

Mailing Address1835 Chestnut St Apt 3rPhiladelphia, PA 19103-3702 · (267) 896-2176

Phone(267) 896-2176

Organization SubpartNo

Authorized OfficialYu SongCeo · (267) 896-2176

Enumeration DateApril 15, 2020

Last NPPES UpdateApril 20, 20202 updates tracked since enumeration

NPPES CertifiedApril 20, 2020

✔ NPI 1770102105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

1 WORLD TRADE CTR FL 8, Long Beach, CA 90831

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Other Names 1

Doing Business AsIgenome Cancer Institute

Secondary Practice Locations 2

Location 11640 Newport Blvd Ste 445Costa Mesa, CA 92627-7730 · Phone (267) 896-2176

Location 21835 Chestnut St Apt 3RPhiladelphia, PA 19103-3702 · Phone (267) 896-2176

Other Identifiers 5

MedicaidPENDINGPA

OtherPENDINGCA · Medicaid

MedicaidPENDINGNY

MedicaidPENDINGMA

MedicaidPENDINGNJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IGENOME, INC.

Pharmacy