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NPI Code Detail

MEDICARE: AASP HEALTHCARE LLC

MEDICARE: AASP HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1639831258
Entity Type Code : Organization
Provider Name (Legal Business Name) : AASP HEALTHCARE LLC
Provider Business Mailing Address
First Line : 1303 W VALENCIA DR STE 247
Second Line :
City : FULLERTON
State : CA
Zip : 92833-4034
Country : US
Telephone Number : 800-595-5175
Fax Number :
Provider Business Practice Location Address
First Line : 1303 W VALENCIA DR STE 247
Second Line :
City : FULLERTON
State : CA
Zip : 92833-4034
Country : US
Telephone Number : 800-595-5175
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : BHAVNA UPPAL
Credential :
Telephone Number : 800-595-5175
Provider Enumeration Date : 10/11/2021
Last Update Date : 10/11/2021

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Directions to “AASP HEALTHCARE LLC ” Practice Location

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