| Aegis Medical Systems, Inc. | |
|
11776 Mariposa Rd Suite #103 Hesperia CA 92345-1622 | |
| (760) 956-2462 | |
| (760) 956-7542 |
| Full Name | Aegis Medical Systems, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 11776 Mariposa Rd, Hesperia, California |
| Authorized Official Name and Position | George Girgis (CHIEF MEDICAL DIRECTOR) |
| Authorized Official Contact | 6618619967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aegis Medical Systems, Inc. 7246 Remmet Avenue Canoga Park CA 91303-1531 Ph: (818) 206-0360 | Aegis Medical Systems, Inc. 11776 Mariposa Rd Suite #103 Hesperia CA 92345-1622 Ph: (760) 956-2462 |
| NPI Number | 1235286907 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 06/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235286907 | NPI | - | NPPES |
| GR008716M | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | 14837 (California) | Primary |
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