1427443068 NPI number — DR. SHANE ALUN JAMES LLOYD M.D., PH.D.

Table of content: DR. SHANE ALUN JAMES LLOYD M.D., PH.D. (NPI 1427443068)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427443068 NPI number — DR. SHANE ALUN JAMES LLOYD M.D., PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LLOYD
Provider First Name:
SHANE
Provider Middle Name:
ALUN JAMES
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D., PH.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427443068
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/14/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
DEPT LA 21562
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASADENA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92663-4162
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-746-4711
Provider Business Mailing Address Fax Number:
615-296-0952

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ONE HOAG DRIVE
Provider Second Line Business Practice Location Address:
CANCER CENTER
Provider Business Practice Location Address City Name:
NEWPORT BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92663-4162
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-764-5528
Provider Business Practice Location Address Fax Number:
949-764-8106
Provider Enumeration Date:
03/31/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0001X , with the licence number:  A146615 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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