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Organization
SAN DIEGO PACIFIC ONCOLOGY AND HEMATOLOGY ASSOCIATES INC
Active
Organization
SAN DIEGO PACIFIC ONCOLOGY AND HEMATOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE LUSTRIA (ADMINISTRATOR)
(858) 309-6585
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE, STE 830, LA JOLLA, CA 92037-1224
(858) 552-1410
(858) 552-0929
Mailing address
9850 GENESEE AVE, STE 830, LA JOLLA, CA 92037-1224
(858) 552-1410
(858) 552-0929
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
20A8293
CA
207RH0003X
Hematology & Oncology Physician
A50309
CA
207RH0003X
Hematology & Oncology Physician
A52663
CA
207RH0003X
Hematology & Oncology Physician
G15618
CA
207RH0003X
Hematology & Oncology Physician
G34053
CA
207RH0003X
Hematology & Oncology Physician
Primary
G48926
CA
207RX0202X
Medical Oncology Physician
A69490
CA
207RX0202X
Medical Oncology Physician
G64594
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003888074
NPI BESSUDO
CA
01
—
1164497855
NPI BANERJEE
CA
01
—
1174595144
NPI FRAKES
CA
01
—
1205808920
NPI JUST
CA
01
—
1356300230
NPI SINCLAIR
CA
01
—
1497727465
NPI MCCLAY
AR
01
—
1831162627
NPI EISENBERG
AR
Enumeration date
06/17/2006
Last updated
04/02/2012
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