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NPI 1124672985

NPI 1124672985 : ASCHER MEDICAL GROUP PROFESSIONAL CORPORATION : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1124672985
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASCHER MEDICAL GROUP PROFESSIONAL CORPORATION 
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Dates
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    Enumeration Date     |    07/30/2019
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    Last Update Date     |    08/23/2022
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Provider Practice Location Address
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    Address Line         |    1849 SAWTELLE BLVD STE 610 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90025-7013
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    Country              |    US
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    Telephone            |    424-273-9700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1849 SAWTELLE BLVD STE 610 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90025-7013
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    Country              |    US
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    Telephone            |    424-273-9700
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. THOMAS  PARISI 
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    Credential           |    DO, MFT
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    Telephone            |    424-273-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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