Doctor Name: | DR. AZIN ASLI |
NPI Number: | 1013005842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY15233 |
Business Practice Address: | 405 W 5th St Ste 590 Santa Ana, CA - 927014519 |
Business Phone Number: | 7148345015 |
Business Fax Number: | |
Mailing Address: | 405 W 5th St, Ste 590 SANTA ANA |
State: | CA |
Postal Code: | 927014519 |
Phone Number: | 7148345015 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 09/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY15233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |