Provider Demographics
NPI:1114146370
Name:H.S. ARAGON, M.D., INC.
Entity Type:Organization
Organization Name:H.S. ARAGON, M.D., INC.
Other - Org Name:ARAGON MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HUMBERTO
Authorized Official - Middle Name:S
Authorized Official - Last Name:ARAGON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-296-5544
Mailing Address - Street 1:41750 WINCHESTER RD
Mailing Address - Street 2:STE. N
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-4898
Mailing Address - Country:US
Mailing Address - Phone:951-296-5544
Mailing Address - Fax:951-296-5272
Practice Address - Street 1:41750 WINCHESTER RD
Practice Address - Street 2:STE. N
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4898
Practice Address - Country:US
Practice Address - Phone:951-296-5544
Practice Address - Fax:951-296-5272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51144207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A511440Medicaid
CAZZZ05084ZOtherBLUE SHIELD
CAZZZ23278ZOtherBLUE CROSS
CA7402363OtherAETNA
CAZZZ23278ZOtherBLUE CROSS
CA7402363OtherAETNA