Provider Demographics
NPI:1275578304
Name:ASHER, DAVID TODD (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:TODD
Last Name:ASHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:947 S ANAHEIM BLVD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-5582
Mailing Address - Country:US
Mailing Address - Phone:714-533-1491
Mailing Address - Fax:714-533-0237
Practice Address - Street 1:947 S ANAHEIM BLVD
Practice Address - Street 2:SUITE 270
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-5582
Practice Address - Country:US
Practice Address - Phone:714-533-1491
Practice Address - Fax:714-533-0237
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2016-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA67110207QS0010X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA67110OtherLICENSE NUMBER
CA00A671100Medicaid
CAGR0090750Medicaid
CAGR0090750Medicaid
CA00A671100Medicaid