Organization
NORTHERN CALIF CHILDRENS HEMATOLOGY & ONCOLOGY MED GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YUNG YIM MD (PRESIDENT)
(916) 469-9337
Entity
Organization
Contact information
Practice address
5030 J STREET, SUITE 200, SACRAMENTO, CA 95819
(906) 469-9337
(209) 577-1509
Mailing address
PO BOX 906, SALIDA, CA 95368
(209) 577-9900
(209) 577-1509
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0062830
—
CA
Enumeration date
01/03/2007
Last updated
08/03/2015
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