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NPI 1679935381

NPI 1679935381 : ROMMEL ASAGWARA M.D., : WEST HOLLYWOOD, CA

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General NPI Number Information
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    NPI Number           |    1679935381
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    Entity Type          |    Individual 
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    Provider Name        |    ROMMEL ASAGWARA M.D.,
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/22/2016
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    Last Update Date     |    10/05/2025
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Provider Practice Location Address
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    Address Line         |    8857 SANTA MONICA BLVD 
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    City                 |    WEST HOLLYWOOD
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    State                |    CA
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    Zip                  |    90069-4534
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    Country              |    US
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    Telephone            |    323-973-2787
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    Fax                  |    323-973-2787
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Provider Business Mailing Address
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    Address Line         |    840 LARRABEE ST APT 2234 
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    City                 |    WEST HOLLYWOOD
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    State                |    CA
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    Zip                  |    90069-4527
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    Country              |    US
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    Telephone            |    312-532-3141
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    Fax                  |    323-973-2787
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    26900
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    License Number State |    MS
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    9409057
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    License Number State |    KS
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    C200863
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    License Number State |    CA
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