Healthcare Provider Details

I. General information

NPI: 1013927805
Provider Name (Legal Business Name): ASHOK KUMAR, M.D., A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 02/28/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4477 W 118TH ST SUITE 200
HAWTHORNE CA
90250-2255
US

IV. Provider business mailing address

4477 W 118TH ST STE 200
HAWTHORNE CA
90250-2257
US

V. Phone/Fax

Practice location:
  • Phone: 310-675-4440
  • Fax: 310-675-5816
Mailing address:
  • Phone: 310-675-4440
  • Fax: 310-675-5816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: KATHY SULLIVAN
Title or Position: MANAGER
Credential:
Phone: 310-675-4440