Provider Demographics
NPI:1851563506
Name:AUREUS MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:AUREUS MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:BARAG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:909-941-0855
Mailing Address - Street 1:7974 HAVEN AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3052
Mailing Address - Country:US
Mailing Address - Phone:909-941-0855
Mailing Address - Fax:909-987-0011
Practice Address - Street 1:7974 HAVEN AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3052
Practice Address - Country:US
Practice Address - Phone:909-941-0855
Practice Address - Fax:909-987-0011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A3825207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA020A38251Medicaid
CA020A38251Medicaid
CAZZZ03738ZMedicare PIN