# SAN JOAQUIN HEMATOLOGY ONCOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEELESH S BANGALORE MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952356909
- **Authorized official:** INMAN RENE GABRIELA (ADMINISTRATOR)
- **Authorized official phone:** (209) 474-1458

## Contact information

- **Practice address:** 1801 E MARCH LN, SUITE B260, STOCKTON, CA 95210-6629
- **Practice address phone:** (209) 474-1458
- **Practice address fax:** (209) 474-1444
- **Mailing address:** PO BOX 7667, STOCKTON, CA 95267-0667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | A708830 | CA | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 08/26/2011