Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | A67110 | CA |
Y | 207QS0010X | Family Doctor - Sports Medicine | A67110 | CA |
NPI | 1275578304 |
---|---|
Provider Name | Dr. David Todd Asher |
First Address | Anaheim, CA 92805-5582 |
Second Address | Anaheim, CA 92805-5582 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 01/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A671100 | (05) | CA |
A67110 | LICENSE NUMBER (01) | CA |
GR0090750 | (05) | CA |
H13633 | (02) | CA |