Healthcare Provider Details

I. General information

NPI: 1326100199
Provider Name (Legal Business Name): ASHER FAMILY CARE, A MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 W LA PALMA AVE SUITE 1
ANAHEIM CA
92801-2821
US

IV. Provider business mailing address

1110 W LA PALMA AVE SUITE 1
ANAHEIM CA
92801-2821
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

VIII. Authorized Official

Name: DR. DAVID TODD ASHER
Title or Position: PRESIDENT
Credential: MD
Phone: 714-533-1491