Healthcare Provider Details

I. General information

NPI: 1467369660
Provider Name (Legal Business Name): APON ENTERPRISE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 S GRAND AVE 2450
LOS ANGELES CA
90071
US

IV. Provider business mailing address

356 S GRAND AVE SUITE 2450
LOS ANGELES CA
90071
US

V. Phone/Fax

Practice location:
  • Phone: 323-504-2419
  • Fax:
Mailing address:
  • Phone: 323-504-2419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name: APON BARUA
Title or Position: OWNER
Credential:
Phone: 323-504-2419