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ASPEN MEDICAL GROUP INC. NPI 1578958047


NPI Information

NPI: 1578958047
Provider Name: ASPEN MEDICAL GROUP, INC.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 05D0574337

Address:
11441 HEACOCK ST
SUITE B-1
MORENO VALLEY, CA
ZIP 92557
Phone: (951) 924-1906
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ASPEN MEDICAL GROUP, INC. is an obstetrics gynecology in Moreno Valley, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ASPEN MEDICAL GROUP, INC. NPI is 1578958047. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11441 HEACOCK ST
SUITE B-1
MORENO VALLEY, CA
ZIP 92557-907
Phone: (951) 924-1906

The provider's authorized official is Magdalen Ukachi Emeruwa .
The authorized official title is Administrator and has the following contact phone number (951) 735-6969.

The CLIA number assigned to this NPI record is 05D0574337 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/1/2015 and was last updated on 4/1/2015.


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
1207V00000XObstetrics & GynecologyYes

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
1ZZZ28499ZOTHERCALIFORNIAMEDICARE PTAN

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

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