Healthcare Provider Details

I. General information

NPI: 1902137672
Provider Name (Legal Business Name): JAMIE ASADA MARSCH P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. JAMIE RITSU ASADA

II. Dates (important events)

Enumeration Date: 01/20/2010
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11633 VICTORY BLVD.
NORTH HOLLYWOOD CA
91606
US

IV. Provider business mailing address

11633 VICTORY BLVD.
NORTH HOLLYWOOD CA
91606
US

V. Phone/Fax

Practice location:
  • Phone: 626-330-3502
  • Fax:
Mailing address:
  • Phone: 888-530-4415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number36388
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: