Provider Demographics
NPI:1679184535
Name:BLOOD AND CANCER THERAPEUTICS A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:BLOOD AND CANCER THERAPEUTICS A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINH-LINH
Authorized Official - Middle Name:B
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-364-2929
Mailing Address - Street 1:PO BOX 21390
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-1390
Mailing Address - Country:US
Mailing Address - Phone:661-491-5060
Mailing Address - Fax:661-379-6363
Practice Address - Street 1:4500 MORNING DR STE 105
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-7276
Practice Address - Country:US
Practice Address - Phone:661-491-5060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty