Healthcare Provider Details

I. General information

NPI: 1275578304
Provider Name (Legal Business Name): DAVID TODD ASHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 03/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

947 S ANAHEIM BLVD SUITE 270
ANAHEIM CA
92805-5582
US

IV. Provider business mailing address

947 S ANAHEIM BLVD SUITE 270
ANAHEIM CA
92805-5582
US

V. Phone/Fax

Practice location:
  • Phone: 714-533-1491
  • Fax: 714-533-0237
Mailing address:
  • Phone: 714-533-1491
  • Fax: 714-533-0237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberA67110
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberA67110
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: