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
222 W EULALIA ST, #100-B, GLENDALE, CA 91204-2849
(818) 637-7611
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
—
GR0065541
—
CA
Enumeration date
01/09/2007
Last updated
04/12/2016
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