MEDICARE: ASIM INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246XS1301X	Sonography Specialist/Technologist Cardiovascular	80762	CA
2	247200000X	Other Technician	RCP00020659	CA

General Provider Information

NPI Number	:	1235188103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASIM INC

Provider Business Mailing Address
First Line	:	11755 VICTORY BLVD
Second Line	:	SUITE 212
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91606-3423
Country	:	US
Telephone Number	:	323-610-1412
Fax Number	:

Provider Business Practice Location Address
First Line	:	11755 VICTORY BLVD
Second Line	:	SUITE 212
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91606-3423
Country	:	US
Telephone Number	:	323-610-1412
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. IRINA GERBER
Credential	:
Telephone Number	:	323-610-1412

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	09/11/2025

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Directions to “ASIM INC ” Practice Location

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