PACIFIC SHORES MEDICAL GROUP, INC – NPI #1447587050
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

PACIFIC SHORES MEDICAL GROUP, INC is a provider located in IRVINE, CA. NPPES has assigned the NPI number 1447587050 to PACIFIC SHORES MEDICAL GROUP, INC on November 03, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 8 years ago on Aug 22, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PACIFIC SHORES MEDICAL GROUP, INC below.

NPI Profile for
PACIFIC SHORES MEDICAL GROUP, INC

NPI Number
1447587050
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PACIFIC SHORES MEDICAL GROUP, INC
Primary location
16300 SAND CANYON AVE
STE 207
IRVINE, CA 92618
Phone: (949) 333-7580 Fax: (949) 333-7599
Mailing address
1043 ELM AVE
STE 104
LONG BEACH, CA 90813-3271
Phone: (562) 590-0345 Fax:
Organization Subpart
No
Authorized Official
NERSES TCHEKMEDYAIN
CEO
Phone: (949) 333-7580
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.