Healthcare Provider Details

I. General information

NPI: 1720194772
Provider Name (Legal Business Name): HEMATOLOGY ONCOLOGY CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N SAN JACINTO ST
HEMET CA
92543-3119
US

IV. Provider business mailing address

301 N SAN JACINTO ST
HEMET CA
92543-3119
US

V. Phone/Fax

Practice location:
  • Phone: 951-766-6460
  • Fax: 951-766-6459
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License NumberG55989
License Number StateCA

VIII. Authorized Official

Name: STANLEY SCHINKE
Title or Position: PRESIDENT
Credential:
Phone: 951-766-6460