Coast Hematology-Oncology Assoc. Med. Group Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A26505 Issued in CA

Legal business name

COAST HEMATOLOGY-ONCOLOGY ASSOC. MED. GROUP INC.

Practice address

701 East 28TH Street
#418 Suite 260
Long Beach, CA 90806-2657

Phone

(562) 997-4070

Fax

(562) 997-4090

NPI assigned

Jul 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eknath A. Deo, M.D.

Title

Owner

Phone

(562) 997-4070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1235336181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 EAST 28TH STREET",
            "address_2": "#418",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062661",
            "telephone_number": "562-997-4070",
            "fax_number": "562-997-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EAST 28TH STREET",
            "address_2": "#418 SUITE 260",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062657",
            "telephone_number": "562-997-4070",
            "fax_number": "562-997-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST HEMATOLOGY-ONCOLOGY ASSOC. MED. GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "DEO",
        "authorized_official_first_name": "EKNATH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-997-4070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A26505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0048530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Coast Psychiatric Associates
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• Specialist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.