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NPI Code Detail

MEDICARE: DR. JODI LYNN ARAGONA MD

MEDICARE: DR. JODI LYNN ARAGONA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianA60983CA
2207P00000XEmergency Medicine PhysicianME100638FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100A609830OTHERBLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3A60983OTHERCABLUE CROSS

General Provider Information

NPI Number : 1336196583
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JODI LYNN ARAGONA MD
Provider Business Mailing Address
First Line : PO BOX 60039
Second Line :
City : ARCADIA
State : CA
Zip : 91066-6039
Country : US
Telephone Number : 626-447-0296
Fax Number : 626-447-6057
Provider Business Practice Location Address
First Line : 1420 S CENTRAL AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91204-2508
Country : US
Telephone Number : 818-502-2344
Fax Number : 818-502-4501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 03/23/2023

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