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Organization
PACIFIC CANCER MEDICAL CENTER INC
Active
Organization
PACIFIC CANCER MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VEENA CHARU M.D. (PRESIDENT/ OWNER)
(714) 999-1465
Entity
Organization
Contact information
Practice address
1801 W ROMNEYA DR, STE #203, ANAHEIM, CA 92801-1830
(714) 999-1465
(714) 999-1701
Mailing address
1801 W ROMNEYA DR, STE #203, ANAHEIM, CA 92801-1830
(714) 999-1465
(714) 999-1701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A45465
CA
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093300
—
CA
Enumeration date
02/15/2006
Last updated
01/30/2023
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