Healthcare Provider Details

I. General information

NPI: 1518892272
Provider Name (Legal Business Name): AURA CLINICAL SOLUTIONS, A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10884 SANTA MONICA BLVD STE 402
LOS ANGELES CA
90025-7639
US

IV. Provider business mailing address

10884 SANTA MONICA BLVD STE 402
LOS ANGELES CA
90025-7639
US

V. Phone/Fax

Practice location:
  • Phone: 661-425-0102
  • Fax:
Mailing address:
  • Phone: 661-425-0102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL TAHERI
Title or Position: CEO
Credential:
Phone: 310-276-3560