Healthcare Provider Details

I. General information

NPI: 1215688585
Provider Name (Legal Business Name): NEW HOPE GENERAL AND ONCOLOGIC SURGERY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 S BATAVIA ST STE 202
ORANGE CA
92868-3938
US

IV. Provider business mailing address

431 S BATAVIA ST STE 202
ORANGE CA
92868-3938
US

V. Phone/Fax

Practice location:
  • Phone: 714-628-9437
  • Fax: 714-464-4454
Mailing address:
  • Phone: 714-628-9437
  • Fax: 714-464-4454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EVELYN LILLIAN KACHIKWU
Title or Position: PRESIDENT
Credential: MD
Phone: 310-270-5728