MEDICARE: DR. ASHOK KUMAR M.D.

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	207R00000X	Internal Medicine Physician	A38582	CA
2	207RP1001X	Pulmonary Disease Physician	A38582	CA

General Provider Information

NPI Number	:	1518963032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHOK KUMAR M.D.

Provider Business Mailing Address
First Line	:	4477 W 118TH ST
Second Line	:	STE 200
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-2257
Country	:	US
Telephone Number	:	310-675-4440
Fax Number	:	310-675-2970

Provider Business Practice Location Address
First Line	:	ACE MEDICAL GROUP, 4477 W 118TH ST
Second Line	:	STE 200
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-2257
Country	:	US
Telephone Number	:	310-675-4440
Fax Number	:	310-675-2970

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	07/14/2010

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