Derek Asimus Valid NPI
Individual provider · Physician Assistant · Pasadena, CA
- NPI
- 1659738516
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 53155 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-01-24
- Last updated
- 2023-06-20
Practice location
797 S Fair Oaks Ave
Pasadena, CA 91105-2617
(626) 797-2244