Healthcare Provider Details

I. General information

NPI: 1346781416
Provider Name (Legal Business Name): ASHOK AMIN M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3319 W GLEN HOLLY DR
ANAHEIM CA
92804-3736
US

IV. Provider business mailing address

1711 W ROMNEYA DR
ANAHEIM CA
92801-1804
US

V. Phone/Fax

Practice location:
  • Phone: 714-334-7677
  • Fax:
Mailing address:
  • Phone: 714-484-1200
  • Fax: 714-484-8807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License NumberNP95006041
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberNP95006041
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberNP95006041
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNP95006041
License Number State

VIII. Authorized Official

Name: DR. ASHOKKUMAR I AMIN
Title or Position: ADMINISTRATOR
Credential: MD
Phone: 714-484-1200