Provider Demographics
NPI:1205070653
Name:ATASH, ASHMEAN M
Entity type:Individual
Prefix:MR
First Name:ASHMEAN
Middle Name:M
Last Name:ATASH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N VENTURA RD
Mailing Address - Street 2:#A
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-3863
Mailing Address - Country:US
Mailing Address - Phone:818-306-0192
Mailing Address - Fax:
Practice Address - Street 1:1200 N VENTURA RD
Practice Address - Street 2:#A
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-3863
Practice Address - Country:US
Practice Address - Phone:818-306-0192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory