Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A80341 | CA |
NPI | 1225052459 |
---|---|
Provider Name | Ashim Kumar |
First Address | Encino, CA 91436-5227 |
Second Address | Encino, CA 91436-5227 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 11/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A80341 | MEDICAL LISCENSE (01) | CA |
H82604 | (02) | CA |