Provider Demographics
NPI:1205936242
Name:ASIMUS, DANIEL M (MD, MSED)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:ASIMUS
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Gender:M
Credentials:MD, MSED
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:200 E DEL MAR BLVD
Mailing Address - Street 2:SUITE #208
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2544
Mailing Address - Country:US
Mailing Address - Phone:626-578-7111
Mailing Address - Fax:626-578-7161
Practice Address - Street 1:200 E DEL MAR BLVD
Practice Address - Street 2:SUITE #208
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2544
Practice Address - Country:US
Practice Address - Phone:626-578-7111
Practice Address - Fax:626-578-7161
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC354192084P0800X
HI56282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry