Healthcare Provider Details

I. General information

NPI: 1558925735
Provider Name (Legal Business Name): AURA MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 E GREEN ST STE L-07
PASADENA CA
91106-2425
US

IV. Provider business mailing address

960 E GREEN ST STE L-07
PASADENA CA
91106-2425
US

V. Phone/Fax

Practice location:
  • Phone: 626-244-7786
  • Fax: 317-647-4371
Mailing address:
  • Phone: 626-244-7786
  • Fax: 317-647-4371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER TRI BUI
Title or Position: CO-FOUNDER/CEO
Credential: MD
Phone: 858-348-7443