Organization
NAGASAMUDRA S ASHOK MD INC
Active
Parent organization
NAGASAMUDRA S. ASHOK MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAGASAMUDRA S. ASHOK MD INC
Authorized official
NAGASAMUDRA SHAMARAO ASHOK MD (CEO)
(909) 949-9299
Entity
Organization
Contact information
Practice address
1520 N MOUNTAIN AVE BLDG F, SUITE 128, ONTARIO, CA 91762-1128
(909) 949-9299
(909) 949-9029
Mailing address
1520 N MOUNTAIN AVE BLDG F, SUITE 128, ONTARIO, CA 91762-1128
(909) 949-9299
(909) 949-9029
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
CA
261QU0200X
Urgent Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A415890
—
CA
Enumeration date
07/28/2014
Last updated
03/13/2025
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