EAST VALLEY HEMATOLGY AND ONCOLOGY MEDICAL GROUP INC. – NPI #1750307278
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.

EAST VALLEY HEMATOLGY AND ONCOLOGY MEDICAL GROUP INC. is a provider located in BURBANK, CA. NPPES has assigned the NPI number 1750307278 to EAST VALLEY HEMATOLGY AND ONCOLOGY MEDICAL GROUP INC. on July 15, 2006. 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 15 years ago on Jul 07, 2011. 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 EAST VALLEY HEMATOLGY AND ONCOLOGY MEDICAL GROUP INC. below.

NPI Profile for
EAST VALLEY HEMATOLGY AND ONCOLOGY MEDICAL GROUP INC.

NPI Number
1750307278
Enumeration Date

(about 20 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
EAST VALLEY HEMATOLGY AND ONCOLOGY MEDICAL GROUP INC.
Primary location
181 S BUENA VISTA ST
4RTH FLOOR
BURBANK, CA 91505-4504
Phone: (818) 840-0921 Fax: (818) 840-7064
Mailing address
PO BOX 51194
LOS ANGELES, CA 90051-5494
Phone: (818) 840-0921 Fax: (818) 840-7064
Organization Subpart
No
Authorized Official
EDWIN JACOBS
PHYSICIAN
Phone: (818) 840-0921
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)
CA G62813

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.