BREASTLINK MEDICAL GROUP INC (NPI# 1669706610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669706610 |
| Entity Type | Organization |
| Organization Name | BREASTLINK MEDICAL GROUP INC |
| Practice Address |
14650 Aviation Blvd Suite 200 Hawthorne CA 90250-6668 |
| Mailing Address |
2600 Redondo Avenue Suite 405 Long Beach CA 90806-2325 |
| Practice Telephone | 3105392300 |
| Practice Fax Number | 3105398185 |
| Mailing Telephone | 8669389179 |
| Mailing Fax Number | 5625956423 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2011-02-11 |
| Authorized Official Name | JOHN S LINK (PRESIDENT) |
| Authorized Official Telephone | 7145410101 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124689989 | Breastlink Medical Group Inc | Surgery | 230 S Main St Ste B-100, Orange, CA 92868-3851 | 2019-06-24 |
| 1346532272 | Breastlink Medical Group Inc | Surgery | 35900 Bob Hope Dr, Suite 175, Rancho Mirage, CA 92270-1766 | 2011-05-11 |
| 1740588631 | Breastlink Medical Group Inc | Internal Medicine | 2600 Redondo Ave, Suite 405, Long Beach, CA 90806-2325 | 2011-03-02 |
| 1801192646 | Breastlink Medical Group Inc | Chiropractor | 5924 Stoneridge Dr, Suite 108, Pleasanton, CA 94588-2887 | 2011-01-26 |
| 1992021109 | Breastlink Medical Group Inc | Surgery | 35800 Bob Hope Dr, Suite 225, Rancho Mirage, CA 92270-1739 | 2010-04-13 |
| 1154652113 | Breastlink Medical Group Inc | Surgery | 5363 Balboa Blvd, Suite 100, Encino, CA 91316-2805 | 2010-01-14 |
| 1487982971 | Breastlink Medical Group Inc | Internal Medicine | 25455 Medical Center Dr, Suite 200, Murrieta, CA 92562-5963 | 2009-11-23 |
| Street Address |
14650 AVIATION BLVD SUITE 200 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-6668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811949902 | John K Nylund Md Inc | Dermatology | 14650 Aviation Blvd, Suite 235, Hawthorne, CA 90250-6656 | 2006-05-17 |
| 1306266838 | M.d.s.c., Inc. | Dentist | 14650 Aviation Blvd, Suite 185, Hawthorne, CA 90250-6668 | 2014-04-23 |
| 1033544259 | Brandt Clark | Physical Therapist | 14650 Aviation Blvd, #100, Hawthorne, CA 90250 | 2013-09-06 |
| 1427305754 | Andrea T Clow | Acupuncturist | 14650 Aviation Blvd, Suite 100, Hawthorne, CA 90250-6668 | 2012-08-06 |
| 1407029069 | John Keith Nylund | Dermatology | 14650 Aviation Blvd, Suite 235, Hawthorne, CA 90250-6656 | 2008-04-03 |
| 1205026838 | Liza Trinidad Mcgill | Physical Therapist | 14650 Aviation Blvd, Suite 100, Hawthorne, CA 90250-6668 | 2007-07-30 |
| 1598982142 | Arthur J Natvig | Dentist | 14650 Aviation Blvd, Suite 185, Hawthorne, CA 90250-6656 | 2007-04-18 |
| 1427199397 | Patrick K Turley | Dentist | 14650 Aviation Blvd, Suite 220, Hawthorne, CA 90250-6656 | 2007-02-12 |
| 1700948031 | Ida I Mat Aris | Acupuncturist | 14650 Aviation Blvd, Suite 225, Hawthorne, CA 90250-6656 | 2006-12-14 |
| 1982705133 | Ana Rosa Ortiz | Dentist | 14650 Aviation Blvd, Ste# 220, Hawthorne, CA 90250-6656 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043327620 | Michael Paul Fanucchi | Internal Medicine | 19 Bradhurst Avenue, Suite 2300, Hawthorne, NY 10523-6007 | 2006-08-23 |
| 1942263330 | Hoo Geun Chun | Internal Medicine | 19 Bradhurst Ave Ste 3100n, Hawthorne, NY 10532-2140 | 2006-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1366845166 | Dr Shahrooz Eshaghian Md Inc | Internal Medicine | 470 N Robinwood Dr, Los Angeles, CA 90049-2328 | 2014-10-07 |
| 1801214903 | Varsha Tulpule | Internal Medicine | 1441 Eastlake Ave # Nor3444, Los Angeles, CA 90089-1029 | 2014-04-04 |
| 1912321407 | Jennifer Sanbar | Internal Medicine | 2640 Montrose Ave, Montrose, CA 91020-1312 | 2014-02-05 |
| 1053654467 | Pratik Multani | Internal Medicine | 6293 Belmont Trail Ct, San Diego, CA 92130-6819 | 2013-04-03 |
| 1689928533 | Michael Wayne Saville | Internal Medicine | 1811 Aston Ave, Carlsbad, CA 92008-7396 | 2012-10-30 |
| 1396090106 | Ijaz I Arshad Md Inc. | Internal Medicine | 2433 Marshall Rd, Imperial, CA 92251-9599 | 2012-07-17 |
| 1013278811 | Ann Margaretha Lowe | Internal Medicine | 420 Cambridge Ave, Unit 3, Palo Alto, CA 94306-1507 | 2012-06-07 |
| 1285992230 | Nathaniel James Myall | Internal Medicine | 300 Pasteur Drive, Grant S101, Stanford, CA 94305-5109 | 2012-04-27 |
| 1821367467 | Jonathan Peter Schechter | Internal Medicine | 3823 Greenview Dr, El Dorado Hills, CA 95762-5218 | 2011-12-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.