Provider Demographics
NPI:1942445978
Name:KEREN-ZVI, ASHER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ASHER
Middle Name:
Last Name:KEREN-ZVI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 SAWTELLE BLVD
Mailing Address - Street 2:SUITE 345
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025
Mailing Address - Country:US
Mailing Address - Phone:310-479-2500
Mailing Address - Fax:323-930-0840
Practice Address - Street 1:1950 SAWTELLE BLVD
Practice Address - Street 2:SUITE 345
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025
Practice Address - Country:US
Practice Address - Phone:310-479-2500
Practice Address - Fax:323-930-0840
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 7236103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
R30633Medicare UPIN