Healthcare Provider Details

I. General information

NPI: 1730017443
Provider Name (Legal Business Name): ASHIMAHUJAMD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 E GREEN ST STE 310
PASADENA CA
91106-2401
US

IV. Provider business mailing address

1477 MONTECITO DR
LOS ANGELES CA
90031-1451
US

V. Phone/Fax

Practice location:
  • Phone: 626-250-2070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHIM AHUJA
Title or Position: MD
Credential:
Phone: 626-975-6415