MEDICARE: ASA MANAGEMENT INC

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
1	2471V0105X	Vascular Sonography Radiologic Technologist	92964	CA

General Provider Information

NPI Number	:	1518916436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASA MANAGEMENT INC

Provider Business Mailing Address
First Line	:	11755 VICTORY BLVD
Second Line	:	SUITE 102
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91606-3423
Country	:	US
Telephone Number	:	818-505-0509
Fax Number	:

Provider Business Practice Location Address
First Line	:	11755 VICTORY BLVD
Second Line	:	SUITE 102
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91606-3423
Country	:	US
Telephone Number	:	818-505-0509
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. SARKIS ASATRYAN
Credential	:
Telephone Number	:	818-505-0509

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	07/14/2008

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Directions to “ASA MANAGEMENT INC ” Practice Location

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