Healthcare Provider Details

I. General information

NPI: 1558676346
Provider Name (Legal Business Name): EMI MASUI SCALA M. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMI MASUI M. D.

II. Dates (important events)

Enumeration Date: 08/17/2010
Last Update Date: 03/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 S POTOMAC ST SUITE 130
AURORA CO
80012-5455
US

IV. Provider business mailing address

1550 S POTOMAC ST SUITE 130
AURORA CO
80012-5455
US

V. Phone/Fax

Practice location:
  • Phone: 303-360-8111
  • Fax: 303-360-8088
Mailing address:
  • Phone: 303-360-8111
  • Fax: 303-360-8088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036.112515
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number50198
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: