Healthcare Provider Details

I. General information

NPI: 1922768167
Provider Name (Legal Business Name): ASMA M KAZI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2021
Last Update Date: 09/22/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72757 FRED WARING DR STE 8
PALM DESERT CA
92260-9404
US

IV. Provider business mailing address

PO BOX 14144
PALM DESERT CA
92255-4144
US

V. Phone/Fax

Practice location:
  • Phone: 760-895-2600
  • Fax: 760-895-2601
Mailing address:
  • Phone: 760-898-6442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ASMA M KAZI
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 760-898-6442