Provider Demographics
NPI:1346757135
Name:HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHERN CALIFORNIA
Entity Type:Organization
Organization Name:HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHERN CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:PROF
Authorized Official - First Name:NAJMA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JAVEED
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:916-250-0377
Mailing Address - Street 1:740 OAK AVENUE PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6814
Mailing Address - Country:US
Mailing Address - Phone:916-250-0377
Mailing Address - Fax:916-250-0378
Practice Address - Street 1:1631 CREEKSIDE DR
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630
Practice Address - Country:US
Practice Address - Phone:916-337-3261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA49861207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty