Healthcare Provider Details

I. General information

NPI: 1912972126
Provider Name (Legal Business Name): ASHIM ARORA A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 07/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 MACAW LN
SIMI VALLEY CA
93065-3152
US

IV. Provider business mailing address

158 MACAW LN
SIMI VALLEY CA
93065-3152
US

V. Phone/Fax

Practice location:
  • Phone: 805-584-1930
  • Fax: 805-584-1932
Mailing address:
  • Phone: 805-584-1930
  • Fax: 805-584-1932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA51729
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA51729
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA51729
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHIM ARORA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 805-584-1930