MEDICARE: DR. MICHELLE AURAN M.D.

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
1	208000000X	Pediatrics Physician	A88351	CA

General Provider Information

NPI Number	:	1437287505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE AURAN M.D.

Provider Business Mailing Address
First Line	:	3241 S HIGUERA ST
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93401-6924
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3241 S HIGUERA ST
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93401-6924
Country	:	US
Telephone Number	:	805-544-4460
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	12/04/2009

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