# NAGASAMUDRA S ASHOK MD INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NAGASAMUDRA S. ASHOK MD INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851709406
- **Legal business name:** NAGASAMUDRA S. ASHOK MD INC
- **Authorized official:** NAGASAMUDRA SHAMARAO ASHOK MD (CEO)
- **Authorized official phone:** (909) 949-9299

## Contact information

- **Practice address:** 1520 N MOUNTAIN AVE BLDG F, SUITE 128, ONTARIO, CA 91762-1128
- **Practice address phone:** (909) 949-9299
- **Practice address fax:** (909) 949-9029
- **Mailing address:** 1520 N MOUNTAIN AVE BLDG F, SUITE 128, ONTARIO, CA 91762-1128
- **Mailing address phone:** (909) 949-9299
- **Mailing address fax:** (909) 949-9029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | CA | — |
| 261QU0200X | Urgent Care Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 07/28/2014
- **Last updated:** 03/13/2025