Provider Demographics
NPI:1215387741
Name:ASHER E ESAGOFF
Entity type:Organization
Organization Name:ASHER E ESAGOFF
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARM.D
Authorized Official - Prefix:
Authorized Official - First Name:ASHER
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:ESAGOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-652-0550
Mailing Address - Street 1:240 S LA CIENEGA BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3324
Mailing Address - Country:US
Mailing Address - Phone:310-652-0550
Mailing Address - Fax:
Practice Address - Street 1:240 S LA CIENEGA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3324
Practice Address - Country:US
Practice Address - Phone:310-652-0550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY31130183500000X
3336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty