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NPI Code Detail

MEDICARE: KATRIN ASHIR

MEDICARE: KATRIN ASHIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist25717CA

General Provider Information

NPI Number : 1154609121
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRIN ASHIR
Provider Business Mailing Address
First Line : 1377 S BEVERLY GLEN BLVD
Second Line : # 607
City : LOS ANGELES
State : CA
Zip : 90024-5214
Country : US
Telephone Number : 917-653-4733
Fax Number :
Provider Business Practice Location Address
First Line : 1377 S BEVERLY GLEN BLVD
Second Line : # 607
City : LOS ANGELES
State : CA
Zip : 90024-5214
Country : US
Telephone Number : 917-653-4733
Fax Number : 323-567-2929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2011
Last Update Date : 07/25/2011

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Directions to “ KATRIN ASHIR ” Practice Location

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