Provider Demographics
NPI:1215375613
Name:JAMES ASAF, DDS
Entity Type:Organization
Organization Name:JAMES ASAF, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ASAF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-789-8823
Mailing Address - Street 1:16661 VENTURA BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1914
Mailing Address - Country:US
Mailing Address - Phone:818-789-8823
Mailing Address - Fax:818-789-4416
Practice Address - Street 1:16661 VENTURA BLVD
Practice Address - Street 2:SUITE 401
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1914
Practice Address - Country:US
Practice Address - Phone:818-789-8823
Practice Address - Fax:818-789-4416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33232122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty