Healthcare Provider Details

I. General information

NPI: 1578749438
Provider Name (Legal Business Name): ALEXANDER T ASH D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2008
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12412 VENTURA BLVD
STUDIO CITY CA
91604-2246
US

IV. Provider business mailing address

12412 VENTURA BLVD
STUDIO CITY CA
91604-2246
US

V. Phone/Fax

Practice location:
  • Phone: 818-763-1444
  • Fax: 818-763-7832
Mailing address:
  • Phone: 818-763-1444
  • Fax: 818-763-7832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number54900
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: