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AESCELON INC. NPI 1124509153


NPI Information

NPI: 1124509153
Provider Name: AESCELON INC.

Doing Business As: AESCELON

Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Organization
Address:
1389 JEFFERSON ST UNIT A507
OAKLAND, CA
ZIP 94612
Phone: (415) 689-6406
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AESCELON INC. is a student in an organized health care education training program in Oakland, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. AESCELON INC. NPI is 1124509153. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Aescelon.

The provider's business location address is:

1389 JEFFERSON ST UNIT A507
OAKLAND, CA
ZIP 94612-670
Phone: (415) 689-6406

The provider's authorized official is Charles Philip Blackshear .
The authorized official title is President and has the following contact phone number (415) 689-6406.

The enumeration date for this NPI number is 8/28/2018 and was last updated on 8/28/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11114362175MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.