Los Alamitos Hematology/Oncology Medical Group, Inc.
Organization Active NPI Hematology & Oncology Physician · Los Alamitos, CA
NPI 1801964317 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1801964317
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- Legal business name
- LOS ALAMITOS HEMATOLOGY/ONCOLOGY MEDICAL GROUP, INC.
- Practice address
- 3801 Katella Ave
Suite 207
Los Alamitos, CA 90720 - Phone
- (562) 598-9745
- Fax
- (562) 598-0355
- NPI assigned
- Dec 1, 2006
- Reactivated
- Jul 31, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. Suzanne Reed
- Title
- Billing Manager
- Phone
- (562) 598-9745
Practitioners 2
-
Mario Curti, M.D.
-
Maria C Dungo, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0553321 | Los Alamitos Hematology/Oncology | Compliance | Dec 2, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031226000105 | CA | Part B Supplier - Clinic/Group Practice | 2961300173 |
Receives reassigned benefits from 2 practitioners Practice locations: Los Alamitos, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | Yes |
Addresses
Primary practice location
3801 Katella Ave
Suite 207
Los Alamitos, CA 90720
Mailing address
3801 Katella Ave
Suite 207
Los Alamitos, CA 90720-3338
Phone (562) 598-9745
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All providers in Los Alamitos, CA · Hematology & Oncology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.