MEDICARE: ASM ENTERPRISES

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1629469259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASM ENTERPRISES

Provider Business Mailing Address
First Line	:	5825 LINCOLN AVE # D199
Second Line	:
City	:	BUENA PARK
State	:	CA
Zip	:	90620-3463
Country	:	US
Telephone Number	:	714-875-8223
Fax Number	:

Provider Business Practice Location Address
First Line	:	5825 LINCOLN AVE # D199
Second Line	:
City	:	BUENA PARK
State	:	CA
Zip	:	90620-3463
Country	:	US
Telephone Number	:	714-875-8223
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HENA MALIK
Credential	:
Telephone Number	:	714-875-8223

Provider Enumeration Date	:	02/18/2015
Last Update Date	:	02/18/2015

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Directions to “ASM ENTERPRISES ” Practice Location

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