Healthcare Provider Details

I. General information

NPI: 1972322410
Provider Name (Legal Business Name): JOEL M. ASUNTO, MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2024
Last Update Date: 10/10/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 W GLENDALE AVE
VISALIA CA
93291-7611
US

IV. Provider business mailing address

1416 W GLENDALE AVE
VISALIA CA
93291-7611
US

V. Phone/Fax

Practice location:
  • Phone: 818-860-4940
  • Fax: 859-251-7604
Mailing address:
  • Phone: 800-869-3557
  • Fax: 859-251-7604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOEL M. ASUNTO
Title or Position: CEO/PHYSICIAN
Credential: MD, MSC
Phone: 818-860-4940