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General NPI Number Information
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NPI Number | 1952301947
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Entity Type | Organization
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Legal Business Name | SOUTHLAND HEMATOLOGY ONCOLOGY MEDICAL GROUP, INC
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Dates
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Enumeration Date | 07/30/2005
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 201 LAURSEN ST
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City | HEMET
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State | CA
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Zip | 92543-4417
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Country | US
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Telephone | 951-652-3333
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Fax | 951-652-8892
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Provider Business Mailing Address
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Address Line | 201 LAURSEN ST
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City | HEMET
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State | CA
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Zip | 92543-4417
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Country | US
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Telephone | 951-652-3333
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Fax | 951-652-8892
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES YU-CHIH TSAI
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Credential | M.D.
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Telephone | 951-652-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A70963
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License Number State | CA
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