Provider Demographics
NPI:1093412280
Name:ASUNCION, JAMES EDWARD LAUREL (MD, PHD)
Entity Type:Individual
Prefix:
First Name:JAMES EDWARD LAUREL
Middle Name:
Last Name:ASUNCION
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:
Other - Last Name:ASUNCION
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:200 W ARBOR DR # 8218
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-1911
Mailing Address - Country:US
Mailing Address - Phone:619-471-0283
Mailing Address - Fax:
Practice Address - Street 1:200 W ARBOR DR # 8218
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-1911
Practice Address - Country:US
Practice Address - Phone:619-471-0283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-08
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program