# CANCER AND BLOOD SPECIALTY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CANCER AND BLOOD SPECIALTY CLINIC
- **Other names:** Cancer and Blood Specialty Clinic - Cameron Park
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154282127
- **Legal business name:** CANCER AND BLOOD SPECIALTY CLINIC
- **Authorized official:** ANN T KE (CFO/COO)
- **Authorized official phone:** (714) 394-0993

## Contact information

- **Practice address:** 3106 PONTE MORINO DR STE B, CAMERON PARK, CA 95682-8281
- **Practice address phone:** (530) 631-1310
- **Practice address fax:** (530) 631-1311
- **Mailing address:** PO LOCKBOX 743752, LOS ANGELES, CA 90074-3752
- **Mailing address phone:** (562) 725-4368
- **Mailing address fax:** (562) 725-4369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2025
- **Last updated:** 11/19/2025
