Provider Demographics
NPI:1386363620
Name:AURA CLINIC INC.
Entity type:Organization
Organization Name:AURA CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:SEUNG
Authorized Official - Last Name:SONG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-369-2882
Mailing Address - Street 1:15101 E. ILIFF AVE
Mailing Address - Street 2:210
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4552
Mailing Address - Country:US
Mailing Address - Phone:303-369-2882
Mailing Address - Fax:720-452-6296
Practice Address - Street 1:15101 E. ILIFF AVE
Practice Address - Street 2:210
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4552
Practice Address - Country:US
Practice Address - Phone:303-369-2882
Practice Address - Fax:720-452-6296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty