Healthcare Provider Details

I. General information

NPI: 1336920115
Provider Name (Legal Business Name): ASHA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1081 WESTWOOD BLVD STE 221
LOS ANGELES CA
90024-2925
US

IV. Provider business mailing address

2355 WESTWOOD BLVD # 116
LOS ANGELES CA
90064-2109
US

V. Phone/Fax

Practice location:
  • Phone: 424-209-7565
  • Fax:
Mailing address:
  • Phone: 424-209-7565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. SAROSH MOTIVALA
Title or Position: PRESIDENT
Credential: PHD
Phone: 424-209-7565