# ASPEN MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225304942
- **Authorized official:** MAGDALEN UKACHI EMERUWA M.SC. (ADMINISTRATOR)
- **Authorized official phone:** (951) 735-6969

## Contact information

- **Practice address:** 341 MAGNOLIA AVE STE 201, CORONA, CA 92879-3332
- **Practice address phone:** (951) 735-6969
- **Practice address fax:** (951) 735-8560
- **Mailing address:** 341 MAGNOLIA AVE, SUITE 201, CORONA, CA 92879-3330
- **Mailing address phone:** (951) 735-6969
- **Mailing address fax:** (951) 735-8560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 02/07/2024