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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