Provider Demographics
NPI:1851191019
Name:ONYX MEDICAL GROUP INC
Entity type:Organization
Organization Name:ONYX MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHUJA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYOUBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-346-0041
Mailing Address - Street 1:1451 RIMPAU AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-7522
Mailing Address - Country:US
Mailing Address - Phone:951-346-0041
Mailing Address - Fax:951-346-0042
Practice Address - Street 1:1451 RIMPAU AVE STE 212
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-7522
Practice Address - Country:US
Practice Address - Phone:951-346-0041
Practice Address - Fax:951-346-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care