Provider Demographics
NPI:1235907940
Name:MILLER, ASHER JACOB (MSN-BCPMHNP)
Entity Type:Individual
Prefix:MR
First Name:ASHER
Middle Name:JACOB
Last Name:MILLER
Suffix:
Gender:M
Credentials:MSN-BCPMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 OCEANHILL DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-3740
Mailing Address - Country:US
Mailing Address - Phone:310-882-1606
Mailing Address - Fax:
Practice Address - Street 1:901 CORPORATE CENTER DR STE 203
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7665
Practice Address - Country:US
Practice Address - Phone:310-882-1606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95028338363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health