Asha Amirjahed MD
Organization Active NPI Surgery Physician · Reseda, CA
NPI 1962669119 · NPPES record last updated Dec 18, 2008
Key facts
- NPI
- 1962669119
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- A41879 (CA)
- Legal business name
- ASHA AMIRJAHED MD
- Practice address
- 7035 Reseda Blvd
Suite #B
Reseda, CA 91335 - Phone
- (818) 757-3400
- Fax
- (818) 757-3405
- NPI assigned
- May 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Asha Koorosh Amirjahed, M.D.
- Title
- Owner
- Phone
- (818) 757-3400
National Provider Directory
Locations
7035 Reseda Blvd
Ste B
Reseda, CA 91335
Phone (818) 757-3400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | A41879 | CA | Yes |
Addresses
Primary practice location
7035 Reseda Blvd
Suite #B
Reseda, CA 91335
Mailing address
7035 Reseda Blvd
Suite #B
Reseda, CA 91335
Phone (818) 757-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A41879 | Other | CA | CA LICENCE |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.