Healthcare Provider Details

I. General information

NPI: 1023935632
Provider Name (Legal Business Name): AURALIS HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8383 WILSHIRE BLVD STE 800
BEVERLY HILLS CA
90211-2440
US

IV. Provider business mailing address

8383 WILSHIRE BLVD STE 800
BEVERLY HILLS CA
90211-2440
US

V. Phone/Fax

Practice location:
  • Phone: 323-681-2222
  • Fax:
Mailing address:
  • Phone: 323-681-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DMITRII KOFANOV
Title or Position: CEO
Credential:
Phone: 323-681-2222