Basic Information
Provider Information
NPI: 1124515341
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASKARI
FirstName: ANNA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 EMBARCADERO CTR STE 1900
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941113723
CountryCode: US
TelephoneNumber: 4156586791
FaxNumber:  
Practice Location
Address1: 26741 ALISO CREEK RD STE F
Address2:  
City: ALISO VIEJO
State: CA
PostalCode: 926564804
CountryCode: US
TelephoneNumber: 9498998309
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/13/2018
LastUpdateDate: 08/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XA164840CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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