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EVERGREEN HEMATOLOGY ONCOLOGY ASSOCIATES NPI 1558890038


NPI Information

NPI: 1558890038
Provider Name: EVERGREEN HEMATOLOGY ONCOLOGY ASSOCIATES
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
200 JOSE FIGUERES AVE STE 245
SAN JOSE, CA
ZIP 95116
Phone: (408) 923-3388
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EVERGREEN HEMATOLOGY ONCOLOGY ASSOCIATES is a hematology and oncology internal medicine in San Jose, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. EVERGREEN HEMATOLOGY ONCOLOGY ASSOCIATES NPI is 1558890038. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 JOSE FIGUERES AVE STE 245
SAN JOSE, CA
ZIP 95116-599
Phone: (408) 923-3388
Fax: (408) 923-3355

The provider's authorized official is Raymond W. Lee .
The authorized official title is Partner and has the following contact phone number (408) 923-3388.

The enumeration date for this NPI number is 6/8/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyG44983CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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