Provider Demographics
NPI:1043652555
Name:ASH, SIMA (CHOM, CNC)
Entity Type:Individual
Prefix:
First Name:SIMA
Middle Name:
Last Name:ASH
Suffix:
Gender:F
Credentials:CHOM, CNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 N BEVERLY GLEN BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-2710
Mailing Address - Country:US
Mailing Address - Phone:310-738-8878
Mailing Address - Fax:
Practice Address - Street 1:1714 N BEVERLY GLEN BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90077-2710
Practice Address - Country:US
Practice Address - Phone:310-738-8878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath
No133N00000XDietary & Nutritional Service ProvidersNutritionist