Organization
COMPASSIONATE CANCER CARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARESH S JHANGIANI M.D. (PHYSICIAN./OWNER)
(714) 698-0300
Entity
Organization
Contact information
Practice address
11180 WARNER AVE STE 351, FOUNTAIN VALLEY, CA 92708-7516
(714) 698-0300
(714) 698-0303
Mailing address
11180 WARNER AVE STE 351, FOUNTAIN VALLEY, CA 92708-7516
(714) 698-0300
(714) 698-0303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A38872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093940
—
CA
05
—
GR0093941
—
CA
05
—
GR0093942
—
CA
01
—
ZZZ05039Z
BLUE SHIELD
CA
01
—
ZZZ05040Z
BLUE SHIELD
CA
01
—
ZZZ64478Z
BLUE SHIELD
CA
Enumeration date
01/04/2006
Last updated
04/19/2018
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