Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1043652555 |
---|---|
Provider Name | Sima Ash |
First Address | Los Angeles, CA 90077-2710 |
Second Address | Los Angeles, CA 90077-2710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2013 |
Last Update Date | 19/01/2017 |