Healthcare Provider Details

I. General information

NPI: 1417849878
Provider Name (Legal Business Name): ASANI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25614 NARBONNE AVE
LOMITA CA
90717-2512
US

IV. Provider business mailing address

2254 250TH ST
LOMITA CA
90717-2138
US

V. Phone/Fax

Practice location:
  • Phone: 310-955-0674
  • Fax: 310-634-1806
Mailing address:
  • Phone: 310-955-0674
  • Fax: 310-634-1806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 6
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL

VIII. Authorized Official

Name: SIKANDAR BANGASH
Title or Position: CEO
Credential:
Phone: 310-955-0674