Asha Devereaux, Md, Mph A Professional Corporation

LBN: Asha Devereaux, Md, Mph A Professional Corporation
Asha Devereaux, Md, Mph A Professional Corporation is an health care organization with primary practice located at 1224 10Th St Ste 205, Coronado CA 92118-3416. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Asha Devereaux, Md, Mph A Professional Corporation can be contacted via phone (619) 435-4203, or through Devereaux, Asha V via phone (619) 435-4203.

Contact Information

Primary practice address
1224 10Th St Ste 205 Coronado CA 92118-3416
Phone: (619) 435-4203
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Devereaux, Asha V Doctor of Medicine (MD)
Phone: (619) 435-4203

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A51614 California

Profile Details

NPI number 1053597641
LBN Legal business name Asha Devereaux, Md, Mph A Professional Corporation
DBA Doing business as
Authorized official Devereaux, Asha V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2008
Last updated Oct 18th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053597641 NPPES
California MEDICAID 00A516140

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