Organization
PACIFIC SHORES MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NERSES SIMON TCHEKMEDYIAN M.D. (CEO)
(562) 590-0345
Entity
Organization
Contact information
Practice address
19582 BEACH BLVD, STE 212, HUNTINGTON BEACH, CA 92648-2996
(714) 252-9415
Mailing address
1043 ELM AVE, STE 104, LONG BEACH, CA 90813-3271
(562) 590-0345
(562) 437-8139
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0065542
—
CA
Enumeration date
01/09/2007
Last updated
04/12/2016
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