Aspen Medical Group, Inc in Corona - Pediatrics

Aspen Medical Group, Inc - NPI 1386749638

Aspen Medical Group, Inc is a Pediatrics in Corona, California. Aspen Medical Group, Inc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Aspen Medical Group, Inc is 1386749638. The last update date is 2011-10-21.

Aspen Medical Group, Inc's current location address is 900 S Main St, Corona, California. You can contact this provider via phone number 9517356969 and fax number 9513433483. The mailing address for Aspen Medical Group, Inc is 900 S Main St, Corona, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Aspen Medical Group, Inc
Address 900 S Main St, Corona, California
Phone Number 9517356969
Fax Number 9513433483
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Emeruwa Iheanacho
Credentials MD
Telephone Number 9513433477

NPI Number Detail

NPI Number 1386749638
Provider Enumeration Date 2006-09-13
Last Updated Date 2011-10-21

Provider Mailing Address Detail

Address 900 S Main St
City Corona
State California (CA)
Post Code 928823401
Phone Number 9517356969
Fax Number 9513433483

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A410380 CA --
ZZZ28499Z CA MEDICARE PTAN #
GR0094760 CA --

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FAQs about Aspen Medical Group, Inc

What is the unique identifier code issued to Aspen Medical Group, Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Aspen Medical Group, Inc has been assigned the NPI (National Provider Identifier) 1386749638. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Aspen Medical Group, Inc is physically located?

The Aspen Medical Group, Inc is physically situated at the following address: 900 S Main St, Corona, CA, 928823401.

What is the area of specialization for Aspen Medical Group, Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Aspen Medical Group, Inc is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1386749638 to Aspen Medical Group, Inc?

The Centers for Medicare & Medicaid Services originally issued the 1386749638 to Aspen Medical Group, Inc on 2006-09-13.

When was the information pertaining to Aspen Medical Group, Inc most recently updated or revised?

The details related to Aspen Medical Group, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-21.

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