Provider Demographics
NPI:1558925735
Name:AURA MEDICAL GROUP INC
Entity Type:Organization
Organization Name:AURA MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:TRI
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-348-7443
Mailing Address - Street 1:960 E GREEN ST STE L-07
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2425
Mailing Address - Country:US
Mailing Address - Phone:626-244-7786
Mailing Address - Fax:317-647-4371
Practice Address - Street 1:960 E GREEN ST STE L-07
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2425
Practice Address - Country:US
Practice Address - Phone:626-244-7786
Practice Address - Fax:317-647-4371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty