| Aurora Medical Corporation | |
|
11245 Lower Azusa Rd El Monte CA 91731-1411 | |
| (626) 579-9541 | |
| (626) 579-9604 |
| Full Name | Aurora Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 11245 Lower Azusa Rd, El Monte, California |
| Authorized Official Name and Position | Yong Wang (CEO) |
| Authorized Official Contact | 6265799541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Medical Corporation 11245 Lower Azusa Rd El Monte CA 91731-1411 Ph: (626) 579-9541 | Aurora Medical Corporation 11245 Lower Azusa Rd El Monte CA 91731-1411 Ph: (626) 579-9541 |
| NPI Number | 1053335406 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 05/21/2013 |
| Medicare PECOS PAC ID | 7113164534 |
|---|---|
| Medicare Enrollment ID | O20130719000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053335406 | NPI | - | NPPES |
| 00A565230 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A56523 (California) | Primary |
| Provider Name | Yong Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326056888 PECOS PAC ID: 3577700988 Enrollment ID: I20130502000193 |
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