Organization Name: | ASPEN MEDICAL GROUP, INC |
NPI Number: | 1225121270 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IHEANACHO EMERUWA (MEDICAL DIRECTOR) |
Mailing Address: | 264 N Highland Springs Ave Building One Suite D Banning |
State: | CA US |
Postal Code: | 922203082 |
Phone Number: | 9519228038 |
Fax Number: | 9519228039 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | A96748 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |