Provider Demographics
NPI:1487017026
Name:ASFON SERVICES INC
Entity Type:Organization
Organization Name:ASFON SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:FATHIMA
Authorized Official - Middle Name:RINOOZA
Authorized Official - Last Name:NAWAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-612-4042
Mailing Address - Street 1:17511 SHERBROOK DR
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-2502
Mailing Address - Country:US
Mailing Address - Phone:310-612-4042
Mailing Address - Fax:949-271-4087
Practice Address - Street 1:12377 LEWIS ST
Practice Address - Street 2:SUITE 201/205
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-4675
Practice Address - Country:US
Practice Address - Phone:310-612-4042
Practice Address - Fax:949-271-4087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care