# EAST BAY MEDICAL ONCOLOGY-HEMATOLOGY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Epic Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972776730
- **Authorized official:** MR. PHELPS JACKSON (CEO)
- **Authorized official phone:** (925) 771-1404

## Contact information

- **Practice address:** 4721 DALLAS RANCH RD, ANTIOCH, CA 94531-8811
- **Practice address phone:** (925) 778-0679
- **Practice address fax:** (925) 778-3567
- **Mailing address:** 4721 DALLAS RANCH RD, ANTIOCH, CA 94531-8811
- **Mailing address phone:** (925) 778-0679
- **Mailing address fax:** (925) 778-3567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | G39816 | CA | Yes |

## Other

- **Enumeration date:** 04/11/2008
- **Last updated:** 04/04/2012