Healthcare Provider Details

I. General information

NPI: 1598206740
Provider Name (Legal Business Name): ASMA JAMIL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4955 VAN NUYS BLVD STE 502
SHERMAN OAKS CA
91403-1817
US

IV. Provider business mailing address

4955 VAN NUYS BLVD STE 502
SHERMAN OAKS CA
91403-1817
US

V. Phone/Fax

Practice location:
  • Phone: 818-325-0200
  • Fax:
Mailing address:
  • Phone: 310-870-4594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA164106
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number25MA11379500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: