Healthcare Provider Details

I. General information

NPI: 1477942589
Provider Name (Legal Business Name): AASISH NEPAL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2015
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 MISSION VALLEY RD
SAN DIEGO CA
92108-4405
US

IV. Provider business mailing address

7410 MISSION VALLEY RD
SAN DIEGO CA
92108-4405
US

V. Phone/Fax

Practice location:
  • Phone: 619-796-4746
  • Fax:
Mailing address:
  • Phone: 619-796-4746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number253922
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number132614
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: