MEDICARE: ASHER FAMILY CARE, A MEDICAL CORP

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	207QS0010X	Sports Medicine (Family Medicine) Physician	A67110	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	FNP 29390	OTHER	CA	FICTITIOUS NAME PERMIT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326100199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHER FAMILY CARE, A MEDICAL CORP

Provider Business Mailing Address
First Line	:	1110 W LA PALMA AVE
Second Line	:	SUITE 1
City	:	ANAHEIM
State	:	CA
Zip	:	92801-2821
Country	:	US
Telephone Number	:	714-533-1491
Fax Number	:	714-533-0237

Provider Business Practice Location Address
First Line	:	1110 W LA PALMA AVE
Second Line	:	SUITE 1
City	:	ANAHEIM
State	:	CA
Zip	:	92801-2821
Country	:	US
Telephone Number	:	714-533-1491
Fax Number	:	714-533-0237

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID TODD ASHER
Credential	:	MD
Telephone Number	:	714-533-1491

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	08/22/2020

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