Active NPI
California Cancer Institute a Medical Corporation
- Specialist
- Monterey Park, CA
National Provider Identifier
1962404335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CALIFORNIA CANCER INSTITUTE A MEDICAL CORPORATION
- Practice address
- 600 N Garfield Ave
Suite 200
Monterey Park, CA 91754-1166 - Phone
- (626) 288-0008
- Fax
- (909) 593-5588
- NPI assigned
- Aug 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yun Yen, M.D.
- Title
- Owner / President
- Phone
- (626) 288-0008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | CA | Primary |
Addresses
Primary practice location
600 N Garfield Ave
Suite 200
Monterey Park, CA 91754-1166
Mailing address
1301 Oaklawn Rd
Arcadia, CA 91006-1006
Phone (626) 288-0008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0098210 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962404335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 OAKLAWN RD",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910061006",
"telephone_number": "626-288-0008",
"fax_number": "909-593-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N GARFIELD AVE",
"address_2": "SUITE 200",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541166",
"telephone_number": "626-288-0008",
"fax_number": "909-593-5588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA CANCER INSTITUTE A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YEN",
"authorized_official_first_name": "YUN",
"authorized_official_title_or_position": "OWNER / PRESIDENT",
"authorized_official_telephone_number": "626-288-0008",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0098210",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.