Basic Information
Provider Information
NPI: 1396061164
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHER
FirstName: CHRISTOPHER
MiddleName: DAVID
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 515412
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900516712
CountryCode: US
TelephoneNumber: 6267956596
FaxNumber: 7707016667
Practice Location
Address1: 1 HOAG DR
Address2:  
City: NEWPORT BEACH
State: CA
PostalCode: 92663
CountryCode: US
TelephoneNumber: 9497645438
FaxNumber: 9497645674
Other Information
ProviderEnumerationDate: 04/19/2010
LastUpdateDate: 09/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XA119075CAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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