Provider Demographics
NPI:1326503202
Name:PULMONARIUS ASCLEPIUS INC
Entity Type:Organization
Organization Name:PULMONARIUS ASCLEPIUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MALAYGIRI
Authorized Official - Middle Name:J
Authorized Official - Last Name:APARNATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-521-7161
Mailing Address - Street 1:439 ENCLAVE CIR APT 205
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-8250
Mailing Address - Country:US
Mailing Address - Phone:714-478-4031
Mailing Address - Fax:714-698-8081
Practice Address - Street 1:9900 TALBERT AVE STE 100
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5153
Practice Address - Country:US
Practice Address - Phone:949-521-7161
Practice Address - Fax:714-698-8081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-05
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty