Healthcare Provider Details

I. General information

NPI: 1174080295
Provider Name (Legal Business Name): PULMONARIUS ASCLEPIUS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2019
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 TALBERT AVE STE 100
FOUNTAIN VALLEY CA
92708-5153
US

IV. Provider business mailing address

9900 TALBERT AVE STE 100
FOUNTAIN VALLEY CA
92708-5153
US

V. Phone/Fax

Practice location:
  • Phone: 714-698-8028
  • Fax: 714-698-8081
Mailing address:
  • Phone: 949-521-7161
  • Fax: 714-698-8081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MALAYGIRI APARNATH
Title or Position: MD/PRESIDENT
Credential: MD
Phone: 714-698-8028