Healthcare Provider Details
I. General information
NPI: 1225649353
Provider Name (Legal Business Name): AARON J EPSTEIN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/12/2020
Last Update Date: 12/28/2023
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 ALESSANDRO PL STE 210
PASADENA CA
91105-4005
US
IV. Provider business mailing address
50 ALESSANDRO PL STE 210
PASADENA CA
91105-4005
US
V. Phone/Fax
- Phone: 626-514-0060
- Fax: 626-514-0062
- Phone: 626-514-0060
- Fax: 626-514-0062
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AARON
J
EPSTEIN
Title or Position: OWNER
Credential: MD
Phone: 818-281-5106