Provider Demographics
NPI:1710039953
Name:ONCOLOGY HEMATOLOGY CONSULTANTS MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:ONCOLOGY HEMATOLOGY CONSULTANTS MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-890-1219
Mailing Address - Street 1:PO BOX 2870
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90801-2870
Mailing Address - Country:US
Mailing Address - Phone:714-890-1002
Mailing Address - Fax:714-890-1349
Practice Address - Street 1:2653 ELM AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1652
Practice Address - Country:US
Practice Address - Phone:562-595-7335
Practice Address - Fax:562-595-8136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0029650OtherMEDI CAL
CAW1513Medicare PIN