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NPI Code Detail

MEDICARE: AURORA LAS ENCINAS, LLC

MEDICARE: AURORA LAS ENCINAS, LLC
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
1283Q00000XPsychiatric Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700843216
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA LAS ENCINAS, LLC
Provider Business Mailing Address
First Line : 2900 E DEL MAR BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-4375
Country : US
Telephone Number : 626-795-9901
Fax Number : 626-356-2503
Provider Business Practice Location Address
First Line : 2900 E DEL MAR BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-4375
Country : US
Telephone Number : 626-795-9901
Fax Number : 626-356-2503
Authorized Official
Title or Position : EXECUTIVE ASSISTANT
Name : HELEN EASLEY
Credential :
Telephone Number : 626-795-9901
Provider Enumeration Date : 04/27/2006
Last Update Date : 04/13/2023

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Directions to “AURORA LAS ENCINAS, LLC ” Practice Location

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