Basic Information
Provider Information
NPI: 1235337684
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AURAN
FirstName: TIMOTHY
MiddleName: LEONARD
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 407 BIRD ROCK AVE
Address2: APT 2D
City: LA JOLLA
State: CA
PostalCode: 920377558
CountryCode: US
TelephoneNumber: 8584124650
FaxNumber: 8584124650
Practice Location
Address1: 200 W ARBOR DR
Address2: DEPARTMENT OF RADIOLOGY
City: SAN DIEGO
State: CA
PostalCode: 921039001
CountryCode: US
TelephoneNumber: 6195433534
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/06/2007
LastUpdateDate: 09/29/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XA88252CAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0204XA88252CAY Allopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology

No ID Information.


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