Provider Demographics
NPI:1902630205
Name:AURORA FAMILY PRACTICE LLC
Entity type:Organization
Organization Name:AURORA FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARUTYUNYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUTYUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-900-8521
Mailing Address - Street 1:14901 E HAMPDEN AVE STE 260
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5055
Mailing Address - Country:US
Mailing Address - Phone:303-900-8521
Mailing Address - Fax:
Practice Address - Street 1:14901 E HAMPDEN AVE STE 260
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5055
Practice Address - Country:US
Practice Address - Phone:303-900-8521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Multi-Specialty