Healthcare Provider Details

I. General information

NPI: 1104398601
Provider Name (Legal Business Name): AURSES HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2018
Last Update Date: 12/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 ATLANTIC AVE STE 512
LONG BEACH CA
90813-3422
US

IV. Provider business mailing address

1045 ATLANTIC AVE STE 512
LONG BEACH CA
90813-3422
US

V. Phone/Fax

Practice location:
  • Phone: 562-435-0862
  • Fax: 562-435-0863
Mailing address:
  • Phone: 562-435-0862
  • Fax: 562-435-0863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: HAMED TAHERI
Title or Position: AUTHORIZED OFFICIAL, PRESIDENT
Credential: MD
Phone: 562-435-0862