Healthcare Provider Details

I. General information

NPI: 1871735365
Provider Name (Legal Business Name): SYLVIA ASHOUR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2009
Last Update Date: 08/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 S CENTRAL AVE
GLENDALE CA
91204-2508
US

IV. Provider business mailing address

225 S LAKE AVE STE 535
PASADENA CA
91101-3005
US

V. Phone/Fax

Practice location:
  • Phone: 818-502-1900
  • Fax: 818-502-4738
Mailing address:
  • Phone: 626-795-6596
  • Fax: 626-795-8247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35.094232
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA97354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: