Provider Demographics
NPI:1538346887
Name:ASPEN MEDICAL RESOURCES, LLC
Entity type:Organization
Organization Name:ASPEN MEDICAL RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-972-7736
Mailing Address - Street 1:685 N SHEPARD ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-2835
Mailing Address - Country:US
Mailing Address - Phone:866-972-7736
Mailing Address - Fax:714-237-0990
Practice Address - Street 1:685 N SHEPARD ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-2835
Practice Address - Country:US
Practice Address - Phone:866-972-7736
Practice Address - Fax:714-237-0990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies