Basic Information
| Provider Information | |||||||||
| NPI: | 1639425663 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ACE MEDICAL ASSOCIATES, INC. | ||||||||
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| Address1: | 15031 RINALDI ST | ||||||||
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| City: | MISSION HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913451207 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 15031 RINALDI ST | ||||||||
| Address2: | |||||||||
| City: | MISSION HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913451207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183658051 | ||||||||
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| ProviderEnumerationDate: | 07/27/2012 | ||||||||
| LastUpdateDate: | 07/27/2012 | ||||||||
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| AuthorizedOfficialLastName: | BHARDWAJ | ||||||||
| AuthorizedOfficialFirstName: | ASHWANI | ||||||||
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| AuthorizedOfficialTitleorPosition: | MD, DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8183658051 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.