Healthcare Provider Details

I. General information

NPI: 1598076093
Provider Name (Legal Business Name): ASAD JAVED MEDICAL DOCTOR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 W ORANGEWOOD AVE STE B
ORANGE CA
92868-1955
US

IV. Provider business mailing address

PO BOX 17096
ANAHEIM CA
92817-7096
US

V. Phone/Fax

Practice location:
  • Phone: 714-202-3811
  • Fax: 657-214-3826
Mailing address:
  • Phone: 630-854-8715
  • Fax: 657-214-3826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA149524
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA149524
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA149524
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: