NPI Code Details Logo

NPI 1063220598

NPI 1063220598 : AHA MEDICAL CLINICS, INC. : BEAUMONT, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063220598
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AHA MEDICAL CLINICS, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/30/2024
-----------------------------------------------------
    Last Update Date     |    12/30/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    835 HIGHLAND SPRINGS AVE STE 301 
-----------------------------------------------------
    City                 |    BEAUMONT
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92223-5771
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    909-890-0407
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1855 W REDLANDS BLVD 
-----------------------------------------------------
    City                 |    REDLANDS
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92373-3145
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT/OWNER
-----------------------------------------------------
    Name                 |     ALBERT H ARTEAGA 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    909-890-0407
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.