Basic Information
Provider Information
NPI: 1558604835
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASCHER
FirstName: SIMON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D., M.P.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12011 ROCHESTER AVE APT 1
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900252174
CountryCode: US
TelephoneNumber: 2102162194
FaxNumber:  
Practice Location
Address1: 4150 V ST STE 3400
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958171460
CountryCode: US
TelephoneNumber: 9167347506
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/04/2013
LastUpdateDate: 06/10/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA135057CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208M00000XA135057CAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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