=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639109457
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEMATOLOGY-ONCOLOGY CONSULTANTS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/04/2006
-----------------------------------------------------
Last Update Date | 01/09/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 301 N SAN JACINTO ST
-----------------------------------------------------
City | HEMET
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92543-3119
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-766-6460
-----------------------------------------------------
Fax | 951-766-6459
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 301 N SAN JACINTO ST
-----------------------------------------------------
City | HEMET
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92543-3119
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-766-6460
-----------------------------------------------------
Fax | 951-766-6459
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. STANLEY D SCHINKE
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 951-766-6460
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | G559890
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------