Healthcare Provider Details
I. General information
NPI: 1821803842
Provider Name (Legal Business Name): ASPIRA HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/07/2025
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
24953 PASEO DE VALENCIA STE 1C
LAGUNA HILLS CA
92653-4337
US
IV. Provider business mailing address
24953 PASEO DE VALENCIA STE 1C
LAGUNA HILLS CA
92653-4337
US
V. Phone/Fax
- Phone: 949-446-9325
- Fax: 949-818-4055
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DISHA
PATEL
Title or Position: SECRETARY
Credential:
Phone: 949-446-9325