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1710914288 NPI number — USCC AQUISITIONS CORP

NPI Number: 1710914288
Health Care Provider/Practitioner: USCC AQUISITIONS CORP

Information about “1710914288” NPI (USCC AQUISITIONS CORP) exists in 1710914288 in HTML format HTML  |  1710914288 in plain Text format TXT  |  1710914288 in PDF (Portable Document Format) PDF  |  1710914288 in an XML format XML  formats.

NPI Number : 1710914288 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710914288",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "USCC AQUISITIONS CORP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "610 NEWPORT CENTER DR",
    "SecondLineMailingAddress": "SUITE 350",
    "MailingAddressCityName": "NEWPORT BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92660-6419",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-721-6540",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 S FOREST RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SONORA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95370-4816",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-536-0223",
    "PracticeLocationAddressFaxNumber": "209-536-0226",
    "EnumerationDate": "06/28/2006",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "YOUNG",
    "AuthorizedOfficialFirstName": "GARY",
    "AuthorizedOfficialMiddleName": "S",
    "AuthorizedOfficialTitle": "PHYSICIAN",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "949-721-6533",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0001X",
        "TaxonomyName": "Radiation Oncology Physician",
        "LicenseNumber": "G61579",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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