Aurora Core, LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

AURORA CORE, LLC

Doing business as

Aurora Cryo Well Spa

Practice address

121 S Myrtle Ave
Monrovia, CA 91016-2844

Phone

(626) 930-0772

NPI assigned

Nov 16, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Roy A Wiseman

Title

Owner/Manager

Phone

(626) 790-8258

Specialties & licenses 1

Addresses

Other names 1

• Aurora Cryo Well Spa Doing business as

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1831808039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WOODLAND DR",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910241450",
            "telephone_number": "626-930-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S MYRTLE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162844",
            "telephone_number": "626-930-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA CORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "626-790-8258",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@auroracryospa.com",
            "affiliation": "N",
            "address_1": "121 S Myrtle Ave",
            "city": "Monrovia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910162844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aurora Cryo Well Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health & Wellness Coach in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.