Provider Demographics
NPI:1104672252
Name:ASARE, YAW GOH (MD)
Entity type:Individual
Prefix:
First Name:YAW
Middle Name:GOH
Last Name:ASARE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 EAST HARDY STREET
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301
Mailing Address - Country:US
Mailing Address - Phone:310-680-8374
Mailing Address - Fax:310-412-4021
Practice Address - Street 1:CENTINELA HOSPITAL MEDICAL CENTER
Practice Address - Street 2:555 EAST HARDY STREET
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301
Practice Address - Country:US
Practice Address - Phone:310-680-1495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2025-01-16
Deactivation Date:2024-12-31
Deactivation Code:
Reactivation Date:2025-01-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program