| Soomchungmdoncology-hematologypc | |
|
12555 Garden Grove Blvd Ste 309 Garden Grove CA 92843-1903 | |
| (714) 539-6414 | |
| (714) 539-6933 |
| Full Name | Soomchungmdoncology-hematologypc |
|---|---|
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 12555 Garden Grove Blvd Ste 309, Garden Grove, California |
| Authorized Official Name and Position | Soo Marn Chung (CEO) |
| Authorized Official Contact | 7145396414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soomchungmdoncology-hematologypc 12555 Garden Grove Blvd Ste 309 Garden Grove CA 92843-1903 Ph: (714) 539-6414 | Soomchungmdoncology-hematologypc 12555 Garden Grove Blvd Ste 309 Garden Grove CA 92843-1903 Ph: (714) 539-6414 |
| NPI Number | 1386812394 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386812394 | NPI | - | NPPES |
| 00A410900 | Medicaid | CA | |
| 05D0675453 | Other | CA | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A41090 (California) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | A41090 (California) | Primary |
Aaa Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13071 Brookhurst St Ste 150, Garden Grove, CA 92843 Phone: 657-251-0974 Fax: 657-251-0971 | |
Lee & Kim, Dds, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13031 Kerry St, Garden Grove, CA 92844 Phone: 714-638-2141 | |
Grace Geriatric Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8883 Westminster Ave, Garden Grove, CA 92844 Phone: 657-208-2221 Fax: 657-400-9174 | |
Huong Pham Optometry Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14251 Euclid St Ste F101, Garden Grove, CA 92843 Phone: 714-265-2197 Fax: 714-265-2411 | |
Reform24 Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9535 Garden Grove Blvd, 102, Garden Grove, CA 92844 Phone: 714-534-1112 Fax: 714-534-1116 | |
Thuy Thanh Nguyen, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12302 Garden Grove Blvd Ste 27, Garden Grove, CA 92843 Phone: 714-530-2772 Fax: 714-530-7424 | |
First Healthcare Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12062 Valley View St, Garden Grove, CA 92845 Phone: 714-892-2333 Fax: 714-892-3979 |