Organization
PACIFIC SHORES MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NERSES SIMON TCHEKMEDYAIN MD (CEO)
(949) 333-7580
Entity
Organization
Contact information
Practice address
16300 SAND CANYON AVE, STE 207, IRVINE, CA 92618
(949) 333-7580
(949) 333-7599
Mailing address
1043 ELM AVE, STE 104, LONG BEACH, CA 90813-3271
(562) 590-0345
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
11/03/2009
Last updated
08/22/2018
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