Aaron Bigdelou
Individual provider Active NPI Phlebotomy Technician · Yucaipa, CA
NPI 1043073273 · NPPES record last updated Jan 31, 2024
Key facts
- NPI
- 1043073273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Phlebotomy Technician 246RP1900X
- License
- CPT-00053103 (CA)
- Practice address
- 34438 Glenwood Dr
Yucaipa, CA 92399-4585 - Phone
- (951) 488-4461
- NPI assigned
- Jan 31, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPT-00053103 | CA | MD | Phlebotomy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | CPT-00053103 | CA | Yes |
Addresses
Primary practice location
34438 Glenwood Dr
Yucaipa, CA 92399-4585
Mailing address
34438 Glenwood Dr
Yucaipa, CA 92399-4585
Phone (951) 488-4461
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All providers in Yucaipa, CA · Phlebotomy Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.